4 Reports
Inspection Report — Jan 16, 2025
Renewal
Date: Jan 16, 2025
Visit Reason
Renewal inspection of the adult foster care family home license.
Findings
The home was found to be in non-compliance with 1 rule; a written corrective action plan was required before the license is renewed.
Deficiencies (1)
R 400.1418 Resident medications: licensee had been administering Resident A Centrum women vitamins and AREDS vision supplements without a written order from her physician.
Inspection Report — Jul 12, 2019
Date: Jul 12, 2019
Visit Reason
Increase resident capacity from five (5) to six (6).
Findings
The facility was inspected and found to have added two additional private bedrooms, increasing capacity from five (5) to six (6) without reducing the minimum 35 square feet per resident requirement.
Report Facts
Inspection Report — Nov 5, 2018
Date: Nov 5, 2018
Visit Reason
Change in use of space.
Findings
On 11/05/2018, an onsite inspection was conducted to measure the West bedroom. It was recommended that the West bedroom be used for resident space and that the North bedroom be occupied by the licensee designee as requested.
Inspection Report — Jul 31, 2018
Original Licensing
Date: Jul 31, 2018
Visit Reason
Original license application for an adult foster care family home.
Findings
The study determined substantial compliance with applicable licensing statutes and administrative rules. Compliance with administrative rules related to quality of care will be assessed during the temporary license period.
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