Facility Evaluation Report

On 1/31/24 Licensing Program Analyst (LPA) Maja Jensen arrived at facility unannounced to conduct a required 1 year annual inspection. LPA Jensen met with Administrative Assistant Andrea Hall and explained the purpose of today's visit. The Administrator, Mona Gaskill, holds current certificate #6011648735 good through 2/25/25. LPA Jensen met briefly with Administrator Mona Gaskill and kept in contact with her by phone throughout the inspection. The current census is 6. Clients were on an outing at the time of this inspection.

LPA Jensen toured the facility grounds. There are shaded areas and outdoor furniture available for client enjoyment. There are no bodies of water on the property. The physical plant has two stories with bedrooms and staff quarters on the first floor and a common living area, kitchen and additional bedrooms on the second floor. All windows were recently replaced and window screens are in good repair. The living room and kitchen were recently remodeled and second floor bathroom is also scheduled for a remodel in or around the next 6 months. The facility was observed to be sanitary and free of odor. There was adequate lighting and furniture throughout. LPA Jensen toured the kitchen and observed in excess of a 2 day supply of perishable food and a 7 day supply of non-perishable food. There was fresh vegetables, produce and snacks available for clients. Knives were locked and inaccessible to residents in care. Toxins and medications were locked and inaccessible. The menu was posted in a location easily viewable by residents. The facility also maintains an emergency food and water supply. LPA Jensen inspected the resident bedrooms and observed 2 bedrooms that were without chairs. Technical assistance was provided. A bedroom on the first floor has a door leading to staff quarters. Technical assistance was provided. The facility maintains an adequate supply of linens and towels.

LPA Jensen reviewed 6 of 6 client files and found them to be complete and in compliance. LPA Jensen reviewed 6 of 6 staff files and found them to be in compliance. LPA Jensen interviewed 1 staff member that was able to respond competently to all questions.