Routine inspection·February 19, 2025

On 2/19/2025 at 9:45AM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a Required - 1 Year inspection. LPA met with Resident Care Coordinator, Sherallyn Dones and explained the reason for the visit. LPA toured the facility including but not limited to bedrooms, bathrooms, dining area, kitchen, activity rooms, common areas, and outdoor area. Centrally stored medications were locked in medication carts located in med rooms. First Aid kit is complete. The facility has a written emergency disaster plan. Smoke detectors were interconnected with sprinkler system. Carbon monoxide detectors were observed. Fire extinguishers were observed to be full and last serviced on 3/25/2024. One week of nonperishable and 2-day of perishable food supplies were available. Facility orders food twice a week. Freezer’s temperature was registered at 0 degree F while the refrigerator’s temperature was recorded at 40 degrees F. Hot water temperature was measured at 120 degrees F in a resident's bathroom. Grab bars for each toilet and shower were installed. Non-skid mats were observed. There were adequate lights in each room. Resident rooms were observed to be cleaned and fully furnished. Indoor and outdoor passages were free of obstruction. During visit, LPA reviewed 5 residents and 5 staff files. LPA observed staff completed annual training. LPA reviewed a sample of resident's medications during inspection. No deficiencies are being cited on this date. Exit interview conducted. A copy of this report provided.