Facility Evaluation Report

Licensee Program Analyst Jason Lund arrived unannounced to conduct an annual/required visit. LPA Lund met with Administrator Maria Payla and explained the reason for the visit. Census 4

LPA Lund and Administrator Maria Payla toured/inspected the facility including common areas, resident bathrooms, kitchen, dining room, laundry, storage, and outside yard area. The facility is clean and in good repair and no odors were detected in areas toured. No hazards were noted in courtyard areas, hallways, doorways, etc. No equipment was stored in public areas. Fixtures and furniture all appear to be in good condition. Cleaning solutions are stored separately from food. Handrails are present in all shower and toilet areas, are secured. Room temperature was comfortable in facility. There are no bodies of water on the premises. A fire clearance was granted for 5 non-ambulatory clients. The facility has a supply of bedding and towels. First aid supplies are available in several locations.

The facility has a working telephone, emergency lighting. The Facility medication cabinet is in the kitchen and secure. The facility has 7-day nonperishable and 2-day nonperishable on hand. Cooler/freezer appear to be at appropriate temperatures. LPA Lund observed the fire extinguisher expires on 08/21/2025 and carbon monoxide detector to be in compliance. LPA Lund reviewed two staff and two residents’ files and are in compliance.

No Deficiencies cited during the visit. Exit interview conducted and report left .