Facility Evaluation Report

01/25/2024 9:45 AM Licensing Program Analyst (LPA) Rebecca Knight arrived at the facility unannounced to conduct a Required-1 Year inspection. LPA met with administrator Micah Carey and explained the purpose of the visit.

LPA Knight and the administrator toured the facility together to ensure the health and safety of clients in care. Areas toured include but are not limited to client rooms, common areas, two (2) bathrooms, showers, laundry room, kitchen, storage areas and back yard. Staff and resident files were reviewed. All employees requiring background checks are cleared. Administrator certificate is current. .

Activities are planned according to the clients preferences.Bedding, linens, and towels for clients were observed and found to be clean and in good repair. Medication is locked in a cabinet.

The facility was observed to be at a comfortable temperature. Hot water measured between 105 – 120 degrees F. Common area was clean and in good repair. The licensee is removing the existing carpet in the common area and replacing it with new carpet. All bedrooms had required furniture, bedding, and lighting. Bathrooms were clean and in good repair. Kitchen was clean and in good repair. Food appears to be stored and prepared properly. Facility has required (7) seven-day non-perishable and (2) day perishable supply of food. Fire extinguishers fully charged and were inspected. Smoke detectors are all operational. No pools/bodies of water are on premises. No firearms are on premises. The facility has been conducting emergency disaster drill every six months and fire drills monthly.

A deficiency is being cited as a result of today's inspection and is documented on the attached LIC809-D. Appeal rights provided.

Exit interview conducted and copy of report was provided to administrator Micah Carey.