Facility Evaluation Report

Licensing Program Analyst (LPA), Shannan Hansen arrived unannounced to conduct a Required Annual inspection of facility. LPA met with Debbie Miller, Licensee/Administrator and Robert Miller, Administrator. There are 5 clients that reside at facility but all were either at day programs or in the community at time of visit.

At 8:45 AM LPA toured the facility with Licensee Debbie Miller. Building and grounds were found to be clean and in good repair. The exits were unobstructed. Hot water temperature of faucets accessible to clients registered within 105 degrees and 120 degrees F which is within regulation. There was nonperishable foods for a minimum of one week and fresh perishable foods for a minimum of two days for current census. Medications were centrally stored and inaccessible to clients in care. Medication and Medication record review was completed. All toxins were locked in the garage and inaccessible to clients. Emergency supplies are also kept in the garage. Laundry room contains enough linens for clients in care. All smoke alarms were functional and carbon Monoxide detectors were present. Fire extinguisher was last inspected 11/23/2022. Required postings were observed. Sufficient lighting was present in common areas, hallways, and client rooms. Required furniture was also present in client rooms. Disaster Drills are conducted quarterly, with the last drill conducted 12/15/2022.

LPA began file review at 9:45 AM. LPA reviewed 5 of 5 client files and 4 staff files. All client records were complete. Client Cash resources are separated and not co-mingled with other facility funds. Staff had required criminal record clearance and First Aid Certification. Administrator Certificates were current with expiration dates of (Debbie Miller 2/3/2024 & Robert Miller 5/1/2023).

No deficiencies were observed in the areas inspected. No citations issued during today’s visit.