Routine inspection·February 6, 2025

On 02/06/2025 at 1:00PM, Licensing Program Analysts (LPAs) T. Syess-Gibson and C. Fowler, arrived unannounced to continue the 1-Year Annual Required inspection visit. LPAs met with Executive Director (ED), Cayia Henry Peevy, and explained the purpose of the visit. Administrator certificate # 7020769374 expires: 02/25/2026. The facility’s fire clearance was approved for 104 non-ambulatory, 40 ambulatory and 6 bedridden residents. Facility has hospice waiver for twelve (12) residents. LPAs toured the facility with Administrator including but not limited to apartments, bathrooms, kitchen, common area, med tech room, and outside. LPAs observed a swimming pool behind a locked gate. LPAs toured apartments #117, #235 and #334. All outdoor and indoor passageways are kept free of obstruction. A comfortable temperature is maintained at 73 degrees Fahrenheit. LPAs observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in the residents’ shared bathroom was measured at 115.6 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-slip shower mats. There is a minimum of 7-day supply of non-perishable and 2-day of perishable foods. Smoke detectors and carbon monoxide were in operating condition during visit. Fire extinguisher was last serviced on 01/02/2025. First aid kit was observed to be complete. Fire drill was last conducted on 01/31/2025. Continued LIC809C . Continued from LIC809 LPAs reviewed five (5) staff records, five (5) resident record and they were all complete. LPA requested the following documents to be submitted to CCLD by 02/13/2025. · LIC 308 Designation of Administrative Responsibility · LIC 309 Administrative Organization · LIC 500 Personnel Report · LIC 610E Emergency Disaster Plan · Liability Insurance No deficiencies observed during visit. Exit interview conducted and a copy of this report provided.