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25 | At approximately 9:05 a.m. on 05/28/25, Licensing Program Analyst (LPA) Nicholas Reed conducted an unannounced annual inspection. LPA met with the administrator and disclosed the reason for the visit.
The facility was last visited on 05/04/24 for an annual inspection. It is a single-story building with four (04) bedrooms, two (02) bathrooms, kitchen, common areas, basement, empty swimming pool, and outdoor areas. It has an approved fire clearance for ambulatory clients only.
The front yard was maintained. At the main entrance, LPA observed postings for confidential complaint contacts, facility license, emergency disaster plan, personal rights, and grievance procedures. A screening station containing a digital thermometer, gloves, masks, sanitizer, and a visitor log was located at the main entrance.
Walls, floors, windows, screens, and blinds were clean and in good repair. At 9:15 a.m. LPA measured the room temperature to be 73 degrees Fahrenheit. Reading materials, board games, and exercise equipment were available in the living room. Two (02) out of two (02) fireplaces were appropriately covered. An office area in the rear living room contained inaccessible, confidential files.
A washing machine and dryer were located outside near the northern-most staff room. Both were in working order. Detergents, cleaning solutions, a complete first aid kit, and medications were locked above the appliances. At approximately 9:30 a.m., LPA and the administrator conducted a medication review for three (03) out of four (04) clients. All medications were maintained in the correct quantities. Near the laundry area were an extra refrigerator and access to the basement. The basement access was locked via padlock. The basement served as storage for client belongings.
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