Facility Evaluation Report

Licensee Program Analyst Jason Lund arrived unannounced to conduct an one required annual inspection. LPA Lund met Administrator Maria Payla and explained the reason for the visit. A fire clearance was granted for 5 non-ambulatory clients. 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 inspected. 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 secured in separate area. Handrails are present in all showers and toilet areas, are secured. Room temperature was comfortable in facility. There are no bodies of water on the premises. The facility has a supply of bedding and towels. First aid supplies are in compliance. 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 08/11/2026 and carbon monoxide detector to be in compliance. LPA Lund reviewed two staff and two residents’ files and are in compliance. The facility has a working telephone, and emergency lighting.

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