Facility Evaluation Report

Licensing Program Analyst (LPA) Shannan Hansen, arrived unannounced to conduct an Annual Required Inspection of facility. LPA met with Licensee/Administrator, Janet Kirby.

LPA initiated a tour of the facility at 1:00 PM and made the following observations: Facility was a comfortable temperature and passageways were free from obstructions. Client rooms were furnished per regulation and 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 July 15, 2022. Smoke detectors located throughout the facility were tested and operational. Carbon monoxide detector was present. Medication is centrally stored and secure.

LPA initiated a file review of two resident files and two personnel files but were unable to complete. LPA was also unable to review medication log and will return at a later date to complete annual inspection.

No deficiencies cited during today's inspection