Routine inspection·January 29, 2025

Licensing Program Analyst (LPA) A Gomez arrived unannounced to conduct a 1-Year Annual Required inspection on this date starting at 8:00AM. LPA met with Resident Care Director, Jeffery Jackson and explained the reason of the visit. The facility's fire clearance was approved for all may be non-ambulatory which 10 may be bedridden. At 10:00 AM, LPA toured facility with Resident Care Director, including but not limited to apartments, bathrooms, kitchen, dining area, multiple activity rooms and courtyard. All outdoor and indoor passageways are kept free of obstruction. There are no bodies of water observed. A comfortable temperature is maintained at 73 degrees Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in the random residents’ bathroom were maintained at 117.6, 115.8, 116.4 and 109.8 degrees F. Residents’ bathrooms are equipped with grab bars and non-skid mats/non-skid shower pans. There is a minimum of one week supply of nonperishable and 2-day of perishable foods. Centrally stored medication carts were inaccessible. Refrigerator temperature was maintained at 35 degrees F and freezer temperature is maintained at -15 degrees F. Smoke detectors, carbon monoxide and sprinklers were observed throughout the facility. Fire extinguisher was last serviced on 1/25/2025 . Emergency Disaster Plan was last posted on 2/1/2024. First aid kit was observed to be complete. Fire drill was last conducted on 11/29/2024. At 8:50AM, LPA reviewed 6 residents records. At 9:30pm, LPA reviewed 6 staff records and 6 of 6 staff are fingerprint cleared. No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.