Routine inspection·August 8, 2024

Licensing Program Analysts (LPAs) Emily Peraldi and Erica Mosley arrived at the facility unannounced to conduct a required annual visit. At 9:45 a.m., the LPAs met with staff and explained the reason for it visit. At 10:42 a.m., the Administrator, Aleksandra Vartapetova arrived at the facility. At 10:08 a.m., the LPAs, along with staff, toured the physical plant areas inside and outside to ensure there are no health and safety hazards and that the facility is in compliance with Title 22 Regulations. KITCHEN: The LPAs observed the kitchen and dining area. Knives are stored in a locked kitchen drawer. Kitchen appliances are in operable condition. The facility has a sufficient supply of perishable and non-perishable food. At 10:11 a.m., hot water measured at 105.4-degree Fahrenheit. Laundry room is located through the kitchen. Cleaning supplies are kept secured and inaccessible to residents in the laundry area. BEDROOMS: The facility is a single-story residential home with six (6) bedrooms and six (6) bathrooms for resident's use. The LPAs observed a staff room near the office area. The LPAs observed resident bedrooms, which were furnished appropriately with clean linens, appropriate furnishings and sufficient lighting. Inside temperature was maintained at a comfortable level. RESTROOMS: Restrooms are relatively clean and sanitary and in operating condition with grab bars and non-skid mats. Between 10:18 a.m. and 10:29 a.m., hot water measured between 105.1 and 111.3-degree Fahrenheit. The sinks had sufficient liquid soap, and paper towels. Continued on LIC-809-C. OUTDOOR SPACE: At 10:30 a.m., the LPAs observed the back patio which has a covered outdoor area for resident use. Passageways were free and clear from obstruction. A pool was noted in the back yard with a secured gate with a padlock. COMMON AREAS: The LPAs observed common area to be relatively clean and properly furnished. The LPAs observed the fire extinguisher to be fully charged and purchased within the year. At 10:50 a.m., fire alarms/carbon monoxide detectors were tested and functioned properly. Medications and first aid kit are located in a locked closet near the entrance. Between 10:05 a.m. and 10:26 a.m., the LPAs conducted interviews with four (4) out of five (5) residents. RECORD REVIEWS: Between 10:58 a.m. and 12:00 p.m., the LPAs conducted a file review for all residents and staff regularly scheduled and observed the following: Staff have current first aid and training documentation showing required training completed. Resident records were reviewed for, but not limited to care plans, medical records, admissions agreement, consent forms. All files were in order. Starting at 1:41 p.m., the LPAs conducted a review of medication and medication documentation with Administrator for five (5) out of five (5) residents. No deficiencies cited at this time. Exit interview conducted. A copy of the report was issued.