Facility Evaluation Report

Licensing Program Analyst (LPA) Shannan Hansen arrived unannounced to conduct an Annual Inspection of this Adult Residential facility and met with Licensee, Janet Kirby. Facility is a 2 story building with 5 bedrooms, fire clearance for 3 ambulatory clients. There is currently 1 client in care.

LPA initiated a tour of the facility at 2:45 PM and made the following observations: Facility was a comfortable temperature and passageways were free from obstructions. Client room was furnished per regulation with adequate lighting. Water temperature at faucets accessible to clients measured within regulation of 105 degrees to 120 degrees F. Extra hygiene products are kept in the cabinet in the bathroom. Extra Linens are stored in the cabinet in the hall closet. Cabinet located under the kitchen sink containing cleaning supplies was locked. Facility has two days of perishable and one week of non-perishable foods for current census. Fire extinguishers were last inspected & recharged 6/5/2025. Smoke detectors with combination carbon monoxide located throughout the facility were tested and operational. Medications were centrally stored in office desk. Facility conducts disaster drills quarterly with the last being on 5/20/2026. Medication records must be kept for all prescriptions. A record of each dose is maintained in the client's record. The record shall include the date and time the PRN medication was taken, the dosage taken, and the client's response.(see TA LIC 9102).

At approximately 3:30PM, LPA reviewed one client and three personnel records. Staff S1 did not contain required Health Screening (See LIC809D) Licensee was unable to provide First aid certification as required for 2 of 3 staff (Licensee & S1) (see LIC 809-D) . Client handles own P&I monies. Administrator’s Certificate for Lanette Stankas #6075852735 expires 3/12/2027. LPA discussed Emergency Disaster Plan with Licensee. Continue on LIC809-C