Routine inspection·April 28, 2025

On 04/28/25, at 09:52 am, Licensing Program Analyst (LPA) Gina Saucedo arrived at the facility to conduct an unannounced, annual visit. Upon arrival, LPA met Caregiver, Farah Siddiqui . Maria Bangash the designee administrator was called and arrived at 11:30 am. LPA asked for the census, resident, and staff files. The physical plant was toured inside and out at 10:45 am. 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 black covering. There is smoke detectors/carbon monoxide all over the house. The smoke detectors are hardwired and interconnected and were tested. There is one (1) carbon monoxide against the wall at the entrance of the facility near the dining room area. They were functional. The facility temperature varies between 70-72 degrees Fahrenheit. There are several through out the house. There is one (1) fire extinguisher that is dated April 10, 2025. There is an extra/freezer refrigerator in the dining area. Kitchen area was sufficiently stocked with seven (7) days of perishable and seven (7) days of non-perishable food. There are two (2) refrigerators in the kitchen area. The cabinets have canned goods. Sharps are kept secured and locked in one (1) of the cabinets on your left-hand side. The toxins are kept in the kitchen area in one (1) the cabinets locked and secured also inaccessible to residents on your left-hand side. The first aid kit is located in one of the bottom cabinets in the kitchen area. 809C-continued Medication: The medication is kept in a cabinet area with resident files locked and secured inaccessible to residents in the living room area. Bedrooms: There are nine (9) bedrooms. Four (4) of the bedrooms is single, occupied. One (1) of the bedrooms is shared with a private bathroom. There are four (4) bedrooms upstairs for staff use only. There is two (2) bathrooms upstairs and linen closets. All bedrooms were toured and were properly furnished and have appropriate bedding and linens. There are three (3) other bathrooms for resident use downstairs. The bathrooms have proper toiletry and grab bars. The bathroom temperatures of the water are within regulations reading at 111-119 degree Fahrenheit. Outside/Backyard: There is a shed storage outside locked and secured with a washer and dryer. There is a huge backyard with a white fence. The outside/backyard has furniture for residents with proper seating. The facility has no signal system. The front of the house also has proper seating for the residents Administrative: The Insurance plan is updated as of 08/24/25-08/24/25. At the entrance of the facility there is covid signs and PPE items, Oxygen in Use, No smoking. There is an Ombudsman, YES sign, Disaster/Evacuation Plan, Mitigation Plan, Theft and Loss, Facility sketch and administration certificate against the wall in the dining hall. There is internet and phone access in the dining hall. Let it be noted, there has been changes to the original facility sketch. There was a removal of a garage that was originally in the facility sketch. It is now converted to a three (3) unit living area. This has been addressed previously on a case management and the administrator/Licensee is currently working with the City/Building Permit and has until 05/19/25 to make changes. LPA received a copy of City/Building Permit for Modification Building Ordinances. LPA observed the three (3) unit area and it is currently unoccupied. An exit interview was conducted no citation(s) were issued and a copy of the signed report was given to the Administrator.