Facility Evaluation Report

Licensing Program Analyst (LPA) Cuadra arrived unannounced to conduct an Annual Required inspection and met with Licensee Kenne Kennemer. Clients were attending to day program during the visit.

LPA/ licensee 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. Water temperature in client's bathroom measured at 113.5 degrees F which is within allowable range of 105 to 120 degrees F. Extra hygiene products and linens were available. Cleaning supplies were locked in a bathroom closet and under the kitchen sink. Facility has at least two days of perishable and one week of non-perishable foods. Medications were centrally stored and locked in a hallway closet along with client cash resources. Cash resources and their records were reviewed. Medications and medication records were reviewed. Smoke detectors were tested and operational. Fire extinguisher was last inspected March, 2025. Most recent disaster drill was conducted April, 2025.Required postings were observed.

File review was initiated at 1:45 pm. Three staff files and three client files were reviewed. Staff have required First Aid certificates and training hours required. Administrator Certificate for Licensee, Ken Kennemer, 7034413735, expires on 5/14/2026. Contact information was reviewed.

Licensee provided copies of the following documents: LIC 610 Emergency Disaster Plan (if there are any changes), LIC 500 Personnel Summary and surety bond.

No deficiencies cited during today's visit. Exit interview conducted with Licensee and a copy of this report was given.