Facility Evaluation Report

Licensing Program Analyst, LPA, Noel Wolf Petersen arrived unannounced to the facility to conduct an annual inspection. LPA met with Administrator/licensee Georgia Wilcomb and explained the purpose of the visit.

The Physical inspection included but was not limited to the bedrooms, bathrooms, kitchen, common areas, exterior, evacuation route. Facility is clean on the interior, traffic areas are unobstructed and well lit. Kitchen had adequate food storage and food for 15 people, at least 2 days perishable and 7 days non perishable food was observed. Kitchen had adequate lockable storage for sharps, toxics, and Medication. The Bathrooms had hardware in good repair, the water temperature was measured 105-120*F. The bedrooms had adequate furniture and furnishings, to include mattress encasements. Common areas and exteriors have adequate space for activities. Exterior has some upkeep needed, there is high grass in the back, trash in the form of 7/11 cups, fruits on the ground attracting flies.

5 client files were reviewed, to include health screenings, signed admission agreements, addendums to the admission agreement, needs and services plans, functional capability assessment. there were some changes to thier health. (for the better) where a different set of needs and services might apply to them. LPA gave guidance to the facility to get new 602 medical assessments and redo the needs and services plans for clients who have changes to their health.

5 staff files were reviewed, to include health screenings, finger printing clearance, first aid/cpr, and continuing/initial training. files are present and up to date.

4 clients were interviewed, 1 staff was interviewed.