Routine inspection·February 7, 2025

Licensing Program Analyst (LPA) Daiquiri Boyd arrived at the facility unannounced to conduct a required annual visit. LPA was granted entry by caregiver staff and explain the purpose of the visit. Caregiver staff called Administrator Lorik Sheakalee and advised that someone was on their way and would be at the home shortly. Mario Ramos came to the home and stated that he is the assistant to the Administrator and assisted me on this inspection (LIC308 on file and current for this staff). The residence was set at 72 degrees F temperature and free of passageway obstructions inside and outside. LPA observed five bedrooms in the residence. Residents' rooms were toured and inspected. Rooms were found to be clean, and furnishing was in good condition. Hot water temperature measured 121.3 degrees F. LPA and staff adjusted the water heater and at end of inspection it was remeasured at 113.9 degrees F. LPA advised to check it monthly. Kitchen toured, supply of food observed for perishable and nonperishable. Medication and knives are locked in the kitchen area. Laundry room is locked, and stores cleaning supplies Smoke and carbon monoxide, were checked and operating. Fire extinguishers was purchased on 10/14/2024. Last fire drill was completed on 12/08/24. There was outdoor seating for the residents. Outdoor area was clean and free of obstruction. Technical Advisories were given on this day. LPA left a current facility roster with staff. An exit interview was conducted, and a copy of this report was provided to Caregiver staff, Mario Ramos whose signature confirms receipt. LPA requested the following updated forms faxed to CCLD by 02/17/25: Administrative Organization (LIC309), Personnel Report (LIC 500), Proof of current Liability Coverage, Updated Facility sketch with emergency meeting locations and all utility shut-offs notated.