Routine inspection·November 13, 2024

At 8:30am, Licensing Program Analyst (LPA) Angela Panushkina arrived at the facility to conduct an unannounced annual inspection. Upon arrival, LPA met with Staff #1 (S1), who granted access to the facility. Administrator arrived shortly after and LPA explained the reason for the visit. At 8:45am LPA conducted a tour of the physical plant and observed the following: Kitchen: At approximately, 08:40am LPA toured the kitchen area and observed enough supplies of staple non-perishable for minimum 1 week and perishable for 2 days at the facility. All knives and sharps are observed to be locked in a kitchen drawer and inaccessible to residents. Laundry: Laundry area is located by the kitchen and all detergents were kept locked and inaccessible to residents. LPA also observed a fire extinguisher that was last purchased on 06/24/24. Medications: At approximately, 09:00am LPA observed medications are centrally stored and locked in the cabinet, in the kitchen and staff room and inaccessible to residents in care. The garage: Facility has an attached garage that can be accessed from the kitchen. LPA observed the door kept locked and inaccessible to residents. Extra supplies and food were also observed. Bedrooms: There are five (5) bedrooms designated for residents use and have sufficient lighting. All bedrooms are properly furnished, clean and have appropriate bedding and linens. Auditory alarms were tested and observed to be operational. Facility also has one (1) bedroom for live-in staff. Bathrooms: At 09:20am LPA observed all bathrooms are clean and in good repair. Properly supplied with toilet papers, soap and paper towels. Continue on LIC809-C LPA observed appropriate grab bar and had non-skid mat. All trash cans in bathrooms had fitted lids to protect from cross contamination. Common Areas : The facility maintains a comfortable temperature at 75°F. The living room and dining area appeared clean and were properly furnished. No obstructions and or tripping hazards throughout the facility. Smoke detectors/carbon monoxide . Dual smoke and carbon monoxide detectors were located throughout the facility, and at 9:25am they were tested and observed to be operational. Outside areas: At approximately, 09:30am LPA toured the outside area of the facility. LPA observed appropriate outdoor furniture, with a covered shaded area for clients. LPA discussed the importance of maintaining the care and supervision to meet the needs of residents. There are no bodies of water. Between 09:40am to 11:00am, LPAs reviewed records of five (5) clients and two (2) staff. Client and staff records appeared to be complete and updated. Administrative: LPA collected Certificate of Liability Insurance, Administrator Certificate and LIC500. No citations issued during this visit. Exit interview conducted. Copy of report emailed to Licensee.