Facility Evaluation Report

Licensing Program Analyst (LPA) Jason Lund arrived unannounced to conduct an annual/required visit. LPA met with Administrator Patrick Kalu and explained the purpose of the visit. Census 3

LPA Lund & Administrator Patrick Kalu toured/inspected the facility. LPA inspected the dining area, living area, and all other areas intended for client use. LPA observed to be furnished and maintained in compliance at this time.

The Facility had a Medication closet (locked) were medication will be stored. First aid kit was observed in the Medication closet to be present and contained all required components at this time.

A tour of the (4) private resident bedrooms, was conducted. Furnishings intended for use by the residents were observed to meet the needs of the residents at this time. The Facility also had an office for staff. The facility also had three restrooms of which one was in the master bedroom. The contains a sufficient supply of towels and linens able to meet the needs of the clients at this time.

A tour of the exterior grounds was conducted. A review of the facility perimeter fence, side gates, and walkways were observed to be maintained in compliance at this time. The facility has two fire extinguisher that expire on 3/1/2023 and had a working telephone.

There were no deficiencies found during today’s visit. Exit interview held with Administrator Patrick Kalu and a copy of report left.