Inspection Report
Renewal
Census: 30
Capacity: 70
Deficiencies: 0
Jan 17, 2024
Visit Reason
The inspection was conducted as a renewal inspection to determine compliance with applicable licensing statutes and rules for Bayfield Assisted Living.
Findings
The facility was found to be in substantial compliance with the public health code and administrative rules regulating home for the aged facilities. Renewal of the license is recommended.
Report Facts
Number of staff interviewed and/or observed: 8
Number of residents interviewed and/or observed: 30
Capacity: 70
Date of Bureau of Fire Services Inspection: Nov 7, 2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Sara Dickendesher | Authorized Representative | Named in identifying information |
| Sue Lathrom | Administrator | Named in identifying information |
| Aaron Clum | Licensing Consultant | Signed the report and correspondence |
Inspection Report
Renewal
Deficiencies: 0
Jan 9, 2023
Visit Reason
The document serves as a notification that the Home for the Aged license for Bayfield Assisted Living has been renewed for a 12-month period effective February 6, 2023.
Findings
The license renewal confirms that the facility's Home for the Aged license remains valid and is not transferable to another address.
Report Facts
License duration: 12
License effective date: Feb 6, 2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Aaron Clum | Licensing Staff | Author of the license renewal notification |
Inspection Report
Original Licensing
Capacity: 70
Deficiencies: 0
May 31, 2016
Visit Reason
The visit was conducted to review a building addition to the facility, the development of an Alzheimer’s program, and to approve an increase in licensed bed capacity from 38 to 70.
Findings
The facility addition includes a secured memory unit with 14 single occupancy rooms and a general assisted living area with 10 resident rooms. The Alzheimer’s program statement was reviewed and found compliant with state requirements. Fire safety and occupancy approvals were obtained.
Report Facts
Licensed bed capacity increase: 70
Resident rooms in addition: 10
Single occupancy rooms: 14
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Matthew Soderquist | Licensing Staff | Author of the report and recommendation |
| Jerry Hendrick | Area Manager | Approved the report and recommendation |
Inspection Report
Original Licensing
Capacity: 38
Deficiencies: 0
Jul 12, 2013
Visit Reason
The visit was conducted as an original licensing study to determine compliance with applicable licensing statutes and administrative rules for Bayfield Assisted Living.
Findings
The facility was found to be in substantial compliance with licensing requirements, including physical plant, fire safety, and programmatic standards. A temporary license with a maximum capacity of 38 residents was recommended and issued.
Report Facts
Licensed capacity: 38
Staff members hired: 12
Resident apartments/rooms: 26
Staff shifts: 3
Staff per shift: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Samantha Thelen | Authorized Representative | Designated authorized representative of Bayfield Assisted Living and named in relation to licensing and program oversight. |
| Rene Parks | Administrator | Designated administrator of Bayfield Assisted Living with relevant qualifications and experience. |
| Loma M Campbell | Licensing Staff | Staff member who conducted the licensing study and signed the report. |
| Betsy Montgomery | Area Manager | Approved the licensing report. |
| Jeffrey L. McManus | Engineer | Measured resident bedrooms, common areas, and living spaces for compliance. |
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