Routine inspection·June 12, 2024

On 06/12/2024 at 09:20 am Licensing Program Analysts (LPA) J. Clancy-Czuleger arrived unannounced to do an annual inspection. LPA meet with Licensee Antonia Mari and explained the purpose of the visit. LPA inspected the facility inside out. There is no body of water. Physical plant is consistent with the facility sketch received by Central Application Bureau (CAB) and approved by the fire department. LPA inspected the living room, dining area, kitchen, bedrooms, hallways, bathrooms, side and backyards. Bedrooms were observed appropriately furnished with adequate lighting and drawers. Facility has sufficient towels, extra bed sheets and comforters. Equipment and supplies for residents' personal hygiene are available and on site. Dinner and silver wares were observed sufficient for residents' use. Food supplies checked and observed good for seven days of non-perishables. Facility was observed equipped with refrigerator, microwave, dishwasher, washer and dryer. Cabinet for knives, cleaning supplies, and central storage for medications were observed with locks. Activity supplies were available. Outdoor activity space was observed furnished with tables, chairs and shade. The facility has a mitigation plan. At 10:02 am LPA reviewed 6 residents records. At 10:45 am, LPA reviewed 3 staff records and 3 of 3 were fingerprint cleared and associated to the facility. Continued on LIC 809C... ...Continued from LIC 809 The following deficiency was observed during the visit: Medication unlocked Complaint Poster incorrect size No updated medical assessment for R5 with dementia No medical assessment for R2, R3, R4 No staff record for S2 Administrator certificate expired/not renewed Fire Extinguisher has not been serviced or replaced since May 9th 2023 The Facility was cited, and citations can be found on the LIC 809-D. Exit interview conducted. Appeal Rights and a copy of this report provided.