Routine inspection·November 17, 2023

On 11/17/23, Licensing Program Analyst (LPA) M. Yang arrived unannounced to conduct an Annual Inspection. LPA introduced self, stated the purpose of the visit, and requested to meet with Administrator. LPA met with staff Monica Leon and staff Erika Pierce. Administrator Itaska Mask was called and arrived during inspection. Two clients were present upon inspection. During inspection 1 client left to day program and 1 client left on outing. Area Director Troy Rice arrived later during inspection. LPA toured facility with Administrator. The facility was observed to be at a comfortable temperature at 72 degrees F, clean, in good repair, and no passageway obstructions or fire hazards were observed inside. Fire extinguisher was observed with a service date of: 09/13/23. Fire drill last completed on 10/26/23. An adequate supply of perishable and non-perishable food was observed. Freezer temperature was maintained at -1.6 degrees F and refrigerator temperature was maintained at 33 degrees F. Medications were checked and observed kept locked in hall shelf. MARS was reviewed. Residents' bedrooms were toured and observed to be adequately furnished with bed, dresser, and adequate lighting. All bathrooms are toured. All bathrooms were observed operating and functioning during inspection. Non-skid mat and grabbed bars were observed. Hot water temperature was tested 105.3 degrees F. in bathroom 1 and 112.1 degrees F. in bathroom 2. Carbon monoxide and smoke detectors were tested and observed to be operational. Outside of facility toured. Side gate was self-closing and self-latching. Adequate outdoor seating available for residents and free of debris. All residents’ file reviewed to have required documents. LPA reviewed two staff files to have all required documents, fingerprinted cleared and associated to the facility. No deficiency was cited during inspection. Exit Interview conducted. LPA received copy of current Administrator certificate, Lic 308, Lic 400, Lic 402, Lic 500, Lic 610E, Lic 9020, current liability insurance, and current Administrator Certificate. A copy of this report was provided to Administrator, whose signature on this form confirms receipt of these report.