Routine inspection·October 9, 2023

On 10/09/2023 Licensing Program Analyst (LPA) Mariana Agban conducted an Annual Required visit and inspection of the facility. Upon arrival, LPA was greeted by staff and explained the reason for the visit. Shortly after, LPA met with back up Administrator Dianna Kenz. A tour of the physical plant was conducted at 10:15 AM. The facility has 2 stories. First floor is for residents and the second is for the live-in staff. Kitchen: The kitchen appeared clean and the appliances and fixtures functional. LPA found a sufficient amount of perishable and non-perishable food at the facility; properly stored. Sharp objects were stored in locked drawers and cabinets. Medications are locked in the kitchen cabinet. Medications observed to be locked and inaccessible to clients. LPA observed fully stocked first aid kit in the kitchen drawer. Laundry Area: Appliances observed to be in good repair. Laundry room door was locked and thus laundry detergents were inaccessible to residents. LPA observed staff restroom room inside the laundry room. Temperature: Facility maintains a comfortable temperature of 78 degrees Fahrenheit. Surrounding Grounds : Entry/exits were observed to be locked. The outdoor area observed to have a covered shaded area for clients. There is no body of water in the facility. Smoke Alarms and Carbon Monoxide: The fire extinguisher is located in the kitchen, observed to be fully charged and was purchased on 09/07/23. Bathrooms: There were seven (7) bathrooms in the first floor of the facility. Six (6) bathrooms for residents use in private bedrooms. One (1) bathroom for staff located in the laundry room. All bathrooms were clean, properly supplied and had functional fixtures. Water temperatures were 115, 116.1,115.3,118.9,119.3 and 118.6 degrees Fahrenheit. LPA observed cleaning solutions in the bathroom cabinets. Staff immediately took all cleaning solution and locked them in the laundry room. Bedrooms: There were six (6) bedrooms designated for residents' use. All bedrooms are private and clean, properly furnished and had sufficient lighting. Common Areas : This includes the living room dining areas were appropriately furnished and lighting was adequate. The living room has a television and comfortable furniture. (Continue on 809C) The garage is currently being used for storage. Staff Rooms: Staff rooms are located upstairs. No medications are observed in the staff room Exit interview conducted and a copy of the report and appeal rights were provided. Deficiency was cited on 809D.