Routine inspection·December 20, 2023

On 12/20/2023 at 9:45 AM, Licensing Program Analyst (LPA) J. Sampair arrived unannounced to conduct the Required Annual Inspection of the facility. Upon arrival, LPA stated the purpose of the visit to Executive Director (ED) Melody Allen. At 10:15 AM, the LPA began the physical inspection of the facility with Director of Environmental Services Micheal Calhoun. The temperature in the Aspen Room at 10:24 AM was measured at 75.0 and the hot water at 109.4 degrees Fahrenheit. The LPA observed adequate lighting in all of the rooms for the comfort and safety of the residents. In the kitchen, the LPA observed more than the minimum 7 days of nonperishable and 2 days of perishable foods on hand. The Fire Alarm Annual Inspection was completed 10/26/2023 and emergency/disaster drills completed quarterly. All indoor and outdoor passageways were free of obstruction. The swimming pool was inaccessible to residents with dementia. The LPA reviewed the records of 10 residents. 2 Type-A citations were issued (for details refer to LIC809-D). By 12/27/2023, Licensee will send updated forms to LPA: · LIC500 - Personnel Report · LIC308 - Designation of Facility Responsibility · LIC610E - Emergency/Disaster Plan · Evidence of Liability Insurance Required Annual Inspection incomplete. LPA shall return unannounced to complete the inspection at a later date and time. Exit interview conducted with ED Melody Allen. A copy of this report provided via email.