Routine inspection·July 30, 2024

Licensing Program Analyst (LPA) Carol Fowler conducted an unannounced 1-year required visit on 7/30/2024 at 9:50am. LPA met and started tour with Caregiver, Urmila Parajuli and Pratiksha Kharel. Administrator, Sujan Gautam arrived at 10:15am and completed the tour with LPA. The Administrator currently holds a certificate (#7021173740) that expires on 12/05/2025. The facility’s fire clearance was approved for 6 clients, 4 non-ambulatory and 2 ambulatory. LPA toured the facility including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility consists of 5 total bedrooms which 1 bedroom is occupied by staff. All outdoor and indoor passageways are kept free of obstruction. There are no bodies of water observed. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. Hot water temperature in the shared residents’ bathroom was measured at 105 degree Fahrenheit. All toilets, hand washing, and bathing are safe, sanitary and in operating condition. The supply of extra hygiene was available for residents. There is a minimum of 7-day non-perishables and 2-day perishables foods. Smoke detectors and carbon monoxide were in operating condition during visit. Fire extinguisher was last serviced on 6/13/2023. Emergency Disaster Plan was last posted on 07/30/2024. First aid kit was observed to be complete. Report continues on 809C . Continue from LIC809 LPA reviewed staff record 3 of 3 staff have criminal record clearance or a criminal record exemption and 2 of 3 staff holds a current first aid certificate. LPA reviewed 3 resident' files which are complete. The following forms to be updated and submitted to CCL by 08/06/2024: LIC 500 Personnel Report LIC 308 Designation of Administrative Responsibility LIC 309 Administrative Organization LIC 610E Emergency Disaster Plan Copy of Administrator Certificate Exit interview conducted, and a copy of this report provided.