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. There is currently 1 client in care at this adult residential facility.

LPA initiated a tour of the facility at 11:30 AM 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 4/11/2024. Smoke detectors located throughout the facility were tested and operational. Carbon monoxide detector was also tested and operational. Medication is centrally stored although at 12:08pm while touring facility Licensee was unable to locate key to medication drawer and found clients medications under unlocked role top of desk.(see LIC 809-D). While touring facility garage, LPA and licensee observed a 5 gallon bucket of paint next to the freezer accessible to clients (see LIC 809-D). Last disaster drill was conducted 9/18/2023, over 7 months ago (see TA LIC 9102).

At approximately 12:30 PM, LPA reviewed one client and one personnel record, which were all found to be well organized, thorough and contained the required documentation, Although Licensee was unable to provide First aid and CPR certification as required (see LIC 809-D). Client handles own P&I monies. Administrator’s Certificate for Janet Kirby #6002353735 expires 3/31/2025.