Facility Evaluation Report

At 9:45 AM on 07/15/2025, Licensing Program Analyst (LPA) Triel Ellen Lindstrom arrived at the facility unannounced to conduct a required annual inspection and was greeted by the Co-Administrator. The LPA identified herself, explained the purpose of the visit, and asked to meet with the Designated Facility Administrator (DFA). The DFA arrived at the facility at 10:15 AM and a brief interview followed. The DFA accompanied the LPA on a tour of the physical plant. The CARE inspection tool was used during this inspection.

This facility was licensed to serve 4 non-ambulatory clients. The census was 3 residents; none were home at the time of this visit.

The LPA toured the inside of the house, including four resident bedrooms, the kitchen, the two bathrooms, the laundry room, the living/dning room combo, and the garage. The entire house was very clean, odor-free, and pest-free. Each bedroom was single-occupancy; three were currently occupied and one was vacant. Each occupied bedroom had the required furniture and closet space for personal belongings. The windows and window screens were in good repair. One bathroom was a shared bathroom located in the bedroom area hallway and one bathroom was connected to the master bedroom. The bathrooms were clean and the water temperature at the bathroom sink was 109 degrees Fahrenheit.

The LPA observed that the temperature in the house was set at 72 degrees Fahrenheit. There were three smoke/carbon monoxide detectors -one in the entry hallway, one in the bedroom hallway, and one in the master bedroom. The DFA tested all three detectors -they are all operable, sounded an alarm, and were an interconnected system. The fire extinguisher was located hanging on the wall in the entry hall. It was last serviced on 2/21/2025 by Assured Fire Extinguisher Services. There was a nightlight in the bedroom hallway.