Routine inspection·February 20, 2025

On 2/20/25, Licensing Program Analyst (LPA) M. Medina conducted an unannounced Annual Inspection. LPA arrived, introduced self, and allowed entrance by direct care staff. Administrator contacted by telephone and arrived a short time later to conduct inspection with LPA. Currently, there are four (4) residents in care. Residents were arriving home from day program at start of inspection. Facility tour conducted with Administrator. Facility observed to be clean, well lit, and a comfortable temperature. Facility is a 4 bedroom and 2 bathroom home, all residents have private bedrooms. Facility tour began in resident bedrooms, all bedrooms observed to have required furnishings. Resident bathroom toured, bathrooms observed to have grab bars near toilet and grab bars and non-skid mats in tub/shower. LPA measured hot water at 107 degrees in resident bathroom. LPA observed resident bathroom in hallway to have slow draining sink. Living room and dining room have adequate seating available for residents in care. Kitchen toured, LPA observed a 2-day supply of perishable food and a 7-day supply of non-perishable food available. All knives observed to be locked and secured in kitchen drawers. Chemicals are locked and secured under kitchen sink with additional supplies locked and stored in garage. Medication observed to be locked and secured. LPA observed medications to have original labels and to be administered as prescribed. LPA observed smoke detectors and carbon monoxide detectors to be operational during inspection. Last fire drill conducted on 2/10/2025 according to facility records. Fire extinguisher present with a purchase date of 2/23/2024. Continued on 809-C Outside of facility toured, all exits doors open free of obstruction. LPA observed an old sink/counter cabinet, 2 bedside toilets, 2 night stands, and miscellaneous items in need of removal. LPA observed outside wooden deck in need of repair. LPA observed deck to have uneven walking service, loose boards and broken board during inspection. Facility observed to have a table with umbrella and seating available for residents. Fire exits from back yard to front yard of facility observed to be free of obstruction. Deficiency cited on the attached 809D Exit interview conducted with Administrator. Appeal rights provided. A copy of this report provided for facility records.