Routine inspection·January 22, 2024

On 1/22/24 Licensing Program Analyst (LPA) B. Miranda conducted an unannounced Required - 1 Year Annual. LPA explained the reason for the visit and Licensee Shay Ayers was contacted and arrived shortly after. LPA toured the facility inside and out to include entry, kitchen, dining, living room, bedrooms, bathrooms, and exterior. All fire exit routes have a clear pathway but have an additional door flip lock which creates an obstruction. Facility will provide verification of clearance by end of business day 1/29/24 Medications are stored in a locked closest in the facility. Toxins, cleaning supplies, knives and sharp objects are secured and inaccessible to residents. Facility is at maximum capacity with 6 residents each having their individuals rooms. LPA observed the facility to be clean, free from clutter, and odor free. First aid kit is complete. LPA observed supply of Personal Protective Equipment (PPE). Fire extinguishers have been services as of 07/28/23 and are in good standing. Smoke alarms and carbon monoxide reader was tested and in working condition. Water temperature was checked in the bathroom and read at 105.3 degree Fahrenheit. LPA reviewed a sample of employee files which are current and up to date with training. LPA observed a sample of resident's charts which are current. Liability insurance is current and up to date. Citation was not issued at this time, if facility is not able to provide verification citation will be issued at a later date. Exit interview was conducted and a copy of this report LIC809 were provided to Licensee Shay Ayers.