Routine inspection·April 21, 2023

On 4/21/2023 at 10:00 AM, Licensing Program Analyst (LPA) P. Watson arrived unannounced to conduct Required 1 Year Annual inspection. LPA met with Executive Director, Connie Kuhlmann and explained the purpose of the visit. The facility’s fire clearance was approved for 150 Non-Ambulatory and 10 Bedridden. LPA toured the facility with Connie including but not limited to 4 residents’ apartments, bathrooms, activity rooms, kitchen, and common area. There are no bodies of water observed. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. H allway temperature was maintained at 75 degrees F. The hot water temperature in a sample of residents’ bathroom were measured at 109 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of 7 day supply of nonperishable and 2 day of perishable foods. Centrally stored medications, sharps and toxic are locked and inaccessible to residents in care. Smoke detectors and carbon monoxide detector were in operating condition. LPA observed sprinkler system. Fire extinguishers were last serviced on 04/21/2022. Emergency disaster drill was last conducted on 04/12/2023. First aid kit was observed to be complete. Report continues to 809 C. At 12:50 PM, LPA reviewed 8 of 88 residents records. At 12:00 PM, LPA reviewed 8 staff records and 8 of 8 have current first aid training and associated to the facility. At 12:38 PM, LPA reviewed a sample of 8 of 88 resident’s medications. Updated copies of the following documents were requested for facility file and are to be submitted to CCL by 5/12/2023: LIC 308 Designation of Administrative Responsibility LIC 309 Administrative Organization LIC 500 Personnel Report LIC 610E Emergency Disaster Plan Liability Insurance Current Administrator’s Certificate No deficiencies cited during visit. Exit interview conducted and a copy of this report provided .