Routine inspection·May 13, 2024

On 05/13/2024 at 1:00 PM, Licensing Program Analyst (LPA) J. Sampair arrived unannounced to conduct the Required Annual Inspection. Upon entry, LPA disclosed the purpose of the visit with Lead Staff Marilou Ladaban. The LPA inspected the interior and exterior of the facility that included the kitchen, dining area, restrooms, community living spaces, resident rooms, storage areas, and the grounds of the facility. More than the required minimum of 7 days of nonperishable and 2 days of perishable foods were appropriately stored. Temperature in the living room was measured at 71.4 degrees Fahrenheit at 3:28 PM. The LPA observed postings in the facility that included a complaint poster, Ombudsman and Personal Rights posters, Theft and Loss Policy, Rights to Resident Council, and Rights to Family Council. The carbon monoxide and smoke detector were tested and found to be fully operational. 3 fire extinguishers were fully charged, but the facility was cited because they had not been serviced since 9/8/2022. An administrator is on site more than the minimum of 20 hours a week to oversee the proper business operations. The LPA reviewed records of 5 residents. The LPA interviewed 2 staff members and 2 residents. During the inspection, 2 B-Type citations were issued (refer to LIC809-D for details). Annual inspection incomplete. LPA will return unannounced at a future date and time to complete the inspection. Exit interview conducted and a copy of this report provided.