Routine inspection·December 28, 2024

Licensing Program Analyst (LPA) Abeye Duguma met with Trina Lesko for a Required One (01) Year visit. LPA explained the reason for the visit. A tour of the physical plant was conducted at 9:30 AM and the following was noted: There are multiple entrance being utilized at the facility. The facility has a total of ten (10) bedrooms, of which two (02) are for staff and six (06) bathrooms for both residents and staff. The facility is fire cleared for eight (08) non-ambulatory residents and a total capacity of fifteen (15). The facility is currently occupying nine (09) residents. The facility has outdoor furniture with a covered shaded area for residents and visitors. The facility's swimming pool is fenced and locked. Laundry detergents, cleaning agents and other toxins are locked away. Kitchens are sufficiently stocked with at least two (2) days perishable and seven (7) days non-perishable food. Frozen foods are wrapped and stored appropriately. Food storage and preparation areas are clean and inaccessible to pests. Knives and sharps are observed to be locked and inaccessible to residents. The living and dining rooms are neat and clean. The facility maintains a comfortable temperature at 72°F. The smoke and carbon monoxide detectors are hardwired, interconnected and checked periodically. Fire extinguishers are located throughout the facility, observed to be full and last inspected 02/15/2024. (continued on LIC 809-C) The residents' rooms are adequately furnished with appropriate lighting system. Hallways are well lit. Residents have enough personal hygiene product provided by the licensee. The bathroom was checked for cleanliness and proper operations. The hot water temperature was measured at 114.2°F. Towels and washcloths are not shared. There was enough clean linen available in the cabinets. LPA observed medication and first aid kit to be locked and inaccessible to residents. No health and safety hazards noted during the visit. Exit interview conducted. Copy of this report issued.