Routine inspection·September 12, 2023

Licensing Program Analyst (LPA) Tuesday Cabiness arrived at the facility to conduct an unannounced annual inspection. Upon arrival LPA met with Licensee Diana Kenez and informed her the reason of the visit. Infection Control: Covid-19 infection control signage were observed outside of the facility. Proper signage was also observed inside in the common areas. All clients and staff are vaccinated. New admits and new staff hire must have a negative COVID test, but does not have to be vaccinated. Facility has sufficient PPE supplies for more than 30 days. Food Inspection/Kitchen: LPA observed there to be sufficient stock of one-week non-perishable foods and two-day perishable foods. Facility has extra freezer and refrigerator stocked with food. Food storage and preparation areas are clean. Sharps are centrally stored in a locked area. Medications are centrally stored in a locked closet in the kitchen area. Chemicals are stored underneath the sink in a lock cabinet. Smoke detectors/carbon monoxide are located throughout the facility. First aid kit checked. Facility has fire sprinklers throughout the home. Smoke detectors and carbon monoxide detectors were tested and operating correctly. Fire extinguisher fully charged. Common Areas: All common areas were observed to be clean and properly furnished. Resident Rooms: Facility has eight (8) bedrooms which of six (6) are designated for resident's and (2) for staff. All bedrooms were clean and properly furnished. LPA observed additional bedding and linens sufficient for all of the residents. All rooms have adequate lighting and furniture. Bathrooms: There are four (4) bathrooms in the facility of which three (3) are designated for resident’s; and bathrooms were clean. The hot water was tested and measured. Outside: LPA toured the outside area and observed appropriate outdoor furniture with a shaded covered area for residents. There is a back house on the grounds that is unoccupied at the moment. There are no bodies of water. Record review: LPA observed resident and staff files; all required documents observed; including updated training records. No deficiencies cited. Exit interview conducted. Copy of report provided.