Routine inspection·December 13, 2023

On 12/13/2023 at 9:00 AM Licensing Program Analyst (LPA) Christopher Alemoh conducted an unannounced Required – Annual Continuation Inspection and met with Rima Abelian, Administrator. Five (5) residents and two (2) staff were present during this inspection. Facility is licensed to serve six (6) non-ambulatory residents. The facility also has an approved hospice waiver for two (2) residents. The facility currently has 6 non-ambulatory residents. The Annual Licensing Fees are current. The home consists of 1 floor level with: 1 staff room, 3 resident rooms, 4 restrooms, kitchen, dining room, laundry room. At 09:15AM LPA conducted a physical plant tour. The administrator accompanied LPA inside and outside the facility during this inspection. Outside grounds were toured and no bodies of water were observed. Walkways around the home were clear of hazards. Resident bedrooms had the required furniture, bed linens and closet/drawer space to accommodate each resident comfortably. There are no security bars or weapons on the premises. Resident bathrooms were checked. Toilets and water faucets worked properly, grab bars were secure, shower was free of mold/mildew and a non-skid mat was in place, hot water temperature properly measured between 112.5-113.1 F. Resident bath towels, toiletries and personal hygiene supplies were adequately stocked. Common areas were clean and clear of hazards, doorways were free of obstructions. LPA toured the kitchen area and observed a two day supply of perishable and a seven day supply of non-perishable food. Knives and toxics were kept in a locked storage cabinet. First Aid kit was available. This facility has two (2) fire extinguisher, last serviced November 23,2022, LPA observed one extinguisher located in the kitchen and second extinguisher in the living room. LPA tested all carbon monoxide detectors and smoke detectors located in the kitchen area. Both devices were functional. LPA observed that all bedrooms and hallways are equipped with a carbon monoxide and smoke detector. At 10:10 AM LPA conducted a file review. 4 staff records were reviewed, 4 out of 4 staff records had current first aid certificates and had required criminal record clearances or criminal record exemptions. 6 resident records were reviewed and, 6 out of 6 client records had Admission Agreements, Medical Assessments, Pre-appraisals (or Reappraisals) and/or Needs & Services Plans. An exit interview was conducted. A copy of this report and appeal rights were discussed and left with Administrator Rima Abelian.