Routine inspection·January 10, 2024

On 01/10/24, at 08:50 a.m., Licensing Program Analyst (LPA) Gina Saucedo arrived at the facility to conduct an unannounced, annual visit. Upon arrival, LPA met Caregiver, Rafiga Bibi. Maria Bangash the designee administrator was called arrived at 10:15 a.m. LPA asked for the census, resident, and staff rosters. Living and dining room furniture is accessible for six (6) residents. There is a television and enough seating for six (6) residents. Furniture was observed to be in good condition. There is a fireplace in the living room area that has a covering. There is smoke detectors all over the house. The smoke detectors are hardwired and interconnected and were tested. There is one carbon monoxide against the wall at the entrance of the facility near the dining room area. They were functional. The facility temperature at 72 degrees Fahrenheit. There is one fire extinguisher that is dated January 2024. There is an extra refrigerator in the dining area. There is an Ombudsman, YES sign, Evacuation Plan, Mitigation Plan and administration certificate against the wall in the dining hall. There is internet and phone access in the dining hall. Kitchen area was sufficiently stocked with seven (7) days of perishable and seven (7) days of non-perishable food. There is one refrigerator in the kitchen area. The cabinets have canned goods. Sharps are kept secured and locked in one of the cabinets on your left-hand side. The medication is kept in the kitchen area on your right-hand side in one of the cabinets locked and secured inaccessible to residents. The toxins are kept in the kitchen area in one the cabinets locked and secured also inaccessible to residents. The first aid kit is located in one of the bottom cabinets in the kitchen area. 809C-continued Bedrooms: There are eight (8) bedrooms. Four (4) of the bedrooms is single, occupied. One (1) of the bedrooms is shared with a private bathroom. There are three (3) bedrooms upstairs for staff use. All bedrooms were toured and were properly furnished and have appropriate bedding and linens. There are two (2) other bathrooms for resident and staff use. The bathrooms have proper toiletry and grab bars. The bathroom temperatures of the water are within regulations reading at 115-119 degree Fahrenheit. Outside/Backyard: There is a shed storage outside locked and secured with a washer and dryer. There is no garage. The outside/backyard has furniture for residents with proper seating. The facility has no signal system. There is a SPA that has a covering but no fence, accessible to residents. Administrative: There is no annual fee that is due right now. The Insurance plan is updated as of 08/24/23-08/2024. At the entrance of the facility there is covid signs and PPE items. An exit interview was conducted, two different citations were issued-one for staff not having current and/or CPR/Firstaid and one for the SPA/Jacuzzi not having a fenced area, locked inaccessible to the residents. A copy of this report was given to the administrator with the appeal rights.