Routine inspection·July 10, 2024

Licensing Program Analyst (LPA) Melissa Spaeth conducted an unannounced visit and was greeted by the Licensee. LPA stated the purpose of the visit was to conduct an annual inspection. Staff confirmed there are three residents living at the facility. The facility is licensed for six non-ambulatory residents. LPA and the caregiver toured the facility at 11:30 am until 12:15 am. LPA observed the facility was neat and clean. Common Areas – LPA observed the living room contained seating and a television. The dining room contained dining room table and chairs.. Kitchen – LPAs observed the knives were locked in a kitchen drawer. The medications and first aid kit were locked in a kitchen cabinet. LPAs observed a two-day supply of perishable foods and a seven day supply of non-perishable foods. The cleaning solutions were safely locked underneath the kitchen sink and the kitchen was clean. Resident Bedrooms - There are four resident bedrooms which are furnished with a bed, linens, night stand, chest of drawers, light and a closet. Bathroom - There are two bathrooms located in the facility. LPA Spaeth tested the water temperature at 12:30 pm which was 108 degrees F. The bathrooms contained hand soap, paper towels, slip resistant mats, trash can, and grab bars. Staff Room - LPA observed the staff room which was locked. Continued on 809-C Smoke/Carbon Monoxide Detectors – The detectors were tested at 12:00 pm and observed were operable. Backyard -LPA observed comfortable seating in the backyard. Upon entering the facility, LPA observed the front gate was not locked. Garage - LPA observed the garage was locked and contained washer, dryer, emergency food, PPE, and laundry detergent. Delayed Egress Devices – LPAs observed all delayed egress devices were functional. . LPA reviewed residents' and staffs' records at 11:30 am until 12:30 pm. LPA reviewed the residents' medications and there were no issues. There are no deficiencies to report at this time. Exit interview conducted, A copy of the signed report was given to the Licensee