Routine inspection·June 21, 2023

On 06/21/2023 at 11:14 am Licensing Program Analysts (LPA) J. Clancy-Czuleger arrived unannounced to do an annual inspection. LPA meet with Administrator Dennis Ambat 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. Facility was observed equipped with refrigerator, microwave, dishwasher, washer and dryer. Cabinet for knives, 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. Fire extinguishers were observed fully charge and tags showed serviced 04/2023. At 12:02 pm LPA reviewed 4 residents records. At 12:45 pm, LPA reviewed 3 staff records and 3 of 3 were fingerprint cleared and associated to the facility. The following deficiency was observed during the visit: There is no pre-appraisal for the residents in care There is expired non-perishables foods in pantry Cleaning supplies observed unlocked Continued on 809-C.... ...Continued from 809 The following TA observed: The facility has three storage rooms that are classified as other rooms (staff/office) that need to be cleared out 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. Exit interview conducted.