Routine inspection·September 10, 2024

On 09/10/2024 Licensing Program Analyst (LPA) Evelin Rios arrived at the facility to conduct an unannounced annual required visit. LPA was greeted by Staff #4 (S4) who granted access. S4 contacted the administrator, Monica Gory to let them know LPA was at the facility. Administrator met LPA shortly after. LPA explained the purpose of the visit. This is a Residential Care Facility for the Elderly licensed for six (6) residents of which five (5) may be non-ambulatory and one (1) may be bedridden. Facility has been approved for a hospice waiver for two (2). LPA reviewed the register of facility residents, and the staff schedule. LPA initiated a physical plant tour at 1:40 p.m. the following was observed: Bedrooms: There are four (4) total bedrooms for resident use. Two (2) out of the four (4) bedrooms are designated to be shared. Bedrooms were observed to be properly furnished with appropriate furniture, bedding and sufficient lighting. LPA observed hallway cabinets used as storage for facility supplies. Bathrooms: There are three (3) bathrooms. One (1) bathroom is located in a shared bedroom for private use. Bathrooms were properly supplied with toilet paper, paper towels, hand soap, nonskid matts and grab bars. Hot water temperature was measured at 2:00 p.m. and was within regulation. Kitchen: The kitchen appliances and fixtures appeared functional. LPA found a sufficient amount of two day perishable and seven day non-perishable food at the facility; properly stored. LPA observed fresh fruit and resealed food properly labeled. Due to time restraints, LPA was unable to complete the annual visit at this time. LPA did not review any staff or resident records or medication documentation at the time of this visit. A follow-up visit will be conducted at a later date to complete the annual inspection.