Routine inspection·March 20, 2024

On 03/20/24 at 10:00 AM, Licensing Program Analysts (LPAs) K. Nguyen and L. Holmes conducted an unannounced required annual inspection. LPAs met with Barbara Tudda, Executive Director (ED); Administrator Standard Certificate #7013847740 exp. 10/09/2025. LPAs toured facility including but not limited to the common areas, courtyard, bathrooms, kitchens, medication room, theater, and game room. Hot water temperature in common area temperature was at a comfortable degree at 108.2 degrees Fahrenheit; each resident has their own individual apartment. There are 2-days of non-perishables and 7-days of perishable food supplies. Facility food supplies are checked daily by chef and staff. Resident's medications were kept locked in the medication room. Smoke and carbon monoxide detectors are combined and observed throughout the facility and the bedrooms. Fire extinguisher was observed full and last inspected 3/26/2024. No accessible bodies of water were observed. Indoor and outdoor passageways were free of obstruction. Emergency Disaster Plan (EDP) on file and following COVID-19 precautionary guidelines. Disaster drills completed every other month. Certificate of Liability Insurance exp. 06/01/24. LPAs reviewed 7 residents records. LPA reviewed 5 staff records and 5 of 5 have current first aid training and associated to the facility. LPAs reviewed a sample of resident’s medications. No deficiencies cited on this date. Exit interview conducted and a copy of this report provided to ED.