Routine inspection·May 7, 2025

On 5/07/25 at 9:30 am Licensing Program Analysts (LPA) J. Clancy-Czuleger arrived unannounced to do an annual inspection. LPA meet with Caregiver Dennis Ambat and explained the purpose of the visit. Licensee Stew Morris was informed 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 9:50 am LPA reviewed 3 residents records. At 10:15 am, LPA reviewed 2 staff records and 2 of 2 were fingerprint cleared and associated to the facility. Continued on LIC809C... Continued from LIC-809 The following deficiency was observed during the visit: The facility does not employ enough staff for residents in care The facility is un-kept with a broken fence/ unmaintenanced yard Fire extinguisher has not been replaced or serviced There is not a current administrator certificate Administrator qualifications The facility does not have updated Liability insurance Civil Penalties in the total amount of $500.00 is assessed today for repeat deficiencies. 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.