Routine inspection·January 4, 2022

Licensing Program Analysts (LPAs) Tihesha Smith and Gary Tan conducted an unannounced Required 1 year visit and inspection of the facility. LPAs met with Assistant Administrator Chita Beltran. LPAs explained the reason for the visit. A tour of the physical plant was conducted at 11:00 AM. All smoke alarms and carbon monoxide detectors were tested and observed to be functioning properly. The fire extinguishers were observed to be full and current. Kitchen: The kitchen appeared clean and appliances and fixtures functional. Laundry detergents, cleaning agents and other toxins are kept in a locked cabinet below the sink. Knives and sharps were stored in locked drawers. Laundry room is located adjacent to the kitchen on the way to the yard. Properly labeled medications were locked in a cabinet in the kitchen. Bedrooms: There were three (3) bedrooms designated for residents' use. One (1) additional bedroom is designated for staff use. All bedrooms were clean, properly furnished and had sufficient lighting. Bathrooms: There were two (2) bathrooms designated for residents' use. Both bathrooms were clean, properly supplied and had functional fixtures. Hot water temperature was 113.3 degrees Fahrenheit. Common Areas : These included the living room and dining area. The common areas appeared clean and were properly furnished. Surrounding Grounds : Entry/exits were free of obstruction.There is a shed in the backyard being used as a used equipment storage. The shed was observed to be locked. There is no body of water in the facility. The outdoor area was clean and free of hazards. LPAs reviewed files present staff and residents. All resident files included current medical assessments, physician orders for medications and centrally stored medication logs. Medications are given as prescribed. Staff schedule appears sufficient to meet the needs of residents. Exit interview conducted. Copy of this report issued.