Correction check·August 29, 2024

On 8/29/2024, at 1:35PM, Licensing Program Analyst (LPA) L. Hall arrived unannounced to conduct a proof of correction (POC) visit. LPA met with Eva Bode, Caregiver, and explained the purpose of the visit. LPA conducted an annual inspection on 8/20/2024 and cited for the following deficiencies that has not been corrected. 87555(26), LPA observed facility does not have a 7-day supply of non -perishables and 2-day of perishables foods. 87405(a) LPA observed facility have not implemented a plan to hire or recertify an Administrator. 87203 - LPA observed fire extinguisher has not been services and facility has not purchased a new fire extinguisher. 87211(a)(1) - LPA observed facility did not report incident for R1. 87307(d)(6) - LPA observed couch, loveseat, freezer, shovel, and rake in backyard. 87506(d) - LPA observed resident records still not at facility available for review. Continued on LIC809C. Continued from LIC809. 87412(f) - LPA observed staff records still not at facility available for review. 87705(l)(8) - LPA observed facility still have not conducted a fire drill. 87465(8) - LPA observed facility has not bought a first aid kit. 87411(a) - LPA observed facility does not have sufficient staffing to meet residents needs. 87465(h)(6) - LPA observed records for medication is not accurate. LPA conducted an annual inspection on 8/20/2024, and cited for the following deficiency have been corrected. 87705(f)(2) - Caregiver removed medication next to R1's bed and locked medication in cabinet. Each uncorrected deficiency is $100.00 x 2 = $2200.00. Civil Penalties in the total amount of $2200.00 is assessed today for failure to meet POC date for deficiencies. Facility is subject to ongoing civil penalties until deficiencies are corrected. Exit interview conducted. A copy of this report, LIC421FC, and appeal rights provided.