Facility Evaluation Report

Licensing Program Analyst, (LPA) Cuadra, arrived unannounced to conduct an Annual Required Inspection and met Licensee Terry Hartwig. Clients were attending to day program at the time of visit.

LPA/Licensee initiated a tour of the facility and made the following observations: Facility was a comfortable temperature and passageways were free from obstructions. Client bedrooms and shared bathroom are located in a unit separate from the house. There is an intercom system installed if clients need assistance. Client rooms were furnished per regulation. Extra hygiene products and linens were available. Water temperature in bathrooms used by clients measured at 105.2 degrees F. Cabinet located under the kitchen sink containing cleaning supplies was locked. Facility has at least two days of perishable and one week of non-perishable foods. Medications were centrally stored and locked. Fire extinguisher was fully charged and last inspection was August, 2023. Smoke detectors located throughout the facility and carbon monoxide detector were tested and operational. Most recent fire drill was conducted 1/4/2024. Cash resources reviewed. Annual fees are current. Contact information was reviewed.

File review was initiated at 9:00am. Two staff files and three client files were reviewed. Staff have required First Aid certificates. Administrator Certificate for Licensee/Administrator Terry Hartwig, 6021626735, expires on 12/18/24. Medications and medication records were reviewed.

Licensee submitted updates of the following documents: Designation of Administrative Responsibility (LIC308), Personnel Report (LIC500), surety bond and Emergency Disaster Plan (LIC610E).

No deficiencies cited during this inspection. Exit interview conducted with Licensee and copy of this report was given.