Routine inspection·February 5, 2024

On 2/05/2024, Licensing Program Analyst (LPA) M. Medina conducted an unannounced Annual Required Inspection. LPA introduced self, stated purpose of visit, and allowed entrance by Direct Care Staff. Currently, there are five (5) residents in place. All residents were present during inspection. Residents were observed participating in various activities during facility visit. Facility tour conducted with Administrator. Facility observed to be clean, odor free, and comfortable temperature. Facility tour began in resident rooms, all bedrooms are private. All rooms observed to have all required accommodations. Resident bathrooms observed to have grab bars near toilet. LPA observed showers to also have grab bars, non-skid mats, and shower chair available. Water temperature measured at 115 degrees F. All common areas have adequate seating available for residents. Kitchen toured, LPA observed facility to have adequate food supply for residents in care. Knives observed to be locked, secured, and inaccessible to residents. Cleaning supplies observed to be locked and secured under kitchen sink. Medications observed to be locked and secured in kitchen cabinet. Medications observed to have original labels, and administered as prescribed. Smoke detectors and carbon monoxide detectors present and observed operational during inspection. Facility is equipped with pull station and sprinklers. Fire Extinguisher present with a service date of 7/31/2023. Last fire drill conducted on 12/10/23 according to facility records. Outside area toured. All exits open free of obstruction. No hazards observed. LPA reviewed staff and resident files. LPA received the following during inspection: Administrator certificate, LIC 308, LIC 500, LIC 9020, and certificate of liability insurance. No deficiencies observed