Inspection Report
Renewal
Census: 4
Capacity: 6
Deficiencies: 1
Jan 16, 2025
Visit Reason
The inspection was conducted as a renewal licensing study to verify compliance with previously cited violations and to assess the facility's adherence to licensing requirements.
Findings
The facility was found to be in substantial compliance overall but was cited for non-compliance related to administering supplements without a physician's written order. An acceptable corrective action plan was submitted and approved.
Deficiencies (1)
| Description |
|---|
| Administering Resident A Centrum women vitamins and AREDS vision supplements without a written order from her physician. |
Report Facts
Capacity: 6
Residents observed/interviewed: 4
Staff interviewed/observed: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Pandrea Robinson | Licensing Consultant | Author of the inspection report and contact for compliance verification |
Inspection Report
Renewal
Census: 5
Capacity: 6
Deficiencies: 0
Jan 13, 2023
Visit Reason
The inspection was conducted as a renewal inspection to determine compliance with applicable licensing statutes and rules for Waltz Manor.
Findings
The facility was found to be in substantial compliance with all applicable rules and statutes. The licensing consultant recommended issuance of a 2-year regular adult foster care license.
Report Facts
Number of staff interviewed and/or observed: 2
Number of residents interviewed and/or observed: 5
Facility capacity: 6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Pandrea Robinson | Licensing Consultant | Author of the report and licensing consultant who recommended license renewal |
Inspection Report
Original Licensing
Capacity: 6
Deficiencies: 0
Jul 12, 2019
Visit Reason
The inspection was conducted to review and approve an increase in resident capacity from five (5) to six (6) at Waltz Manor.
Findings
The on-site inspection confirmed that two additional private bedrooms were added by converting the two-car garage space, maintaining the minimum 35 square feet per resident requirement. The facility can now accommodate six residents.
Report Facts
Capacity increase: 1
Room dimensions: 91
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Pandrea Robinson | Licensing Consultant | Conducted the inspection and authored the report. |
Inspection Report
Original Licensing
Capacity: 5
Deficiencies: 0
Nov 5, 2018
Visit Reason
The inspection was conducted to measure the West bedroom for its use as a resident bedroom, as requested by the licensee designee, to change the use of space within the facility.
Findings
The West bedroom was measured and found to be 240 square feet with capacity for 2 beds. The North bedroom, previously used as a resident bedroom, will be occupied by the licensee and no longer used for residents. The recommendation was made to approve the West bedroom for resident use.
Report Facts
Capacity: 5
Bedroom square footage: 240
Number of beds: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Pandrea Robinson | Licensing Consultant | Conducted the inspection and made the recommendation |
Inspection Report
Original Licensing
Capacity: 5
Deficiencies: 0
Jul 31, 2018
Visit Reason
The visit was conducted as an original licensing study to determine compliance with applicable licensing statutes and administrative rules for Waltz Manor, an adult foster care family home.
Findings
The facility was found to be in substantial compliance with licensing requirements, including physical plant, fire safety, and environmental health rules. A temporary license with a maximum capacity of 5 residents was recommended and issued.
Report Facts
Capacity: 5
Living and dining room area: 510
Bedroom beds: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Pandrea Robinson | Licensing Consultant | Author of the licensing study report and recommendation |
| Ardra Hunter | Area Manager | Approved the licensing recommendation |
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