Routine inspection·December 10, 2024

At 12:00pm, Licensing Program Analyst (LPA) Angela Panushkina arrived at the facility to conduct an unannounced annual inspection. Upon arrival, LPA met with the Administrator and explained the reason for the visit. Facility is licensed for capacity of six (6) non-ambulatory residents, of which 1 may be bedridden, and has a hospice waivers for three (3). At 12:10pm, LPA toured the kitchen area and observed there to be sufficient stock of one-week perishable foods and two-day non-perishable foods. Frozen foods are properly wrapped and stored. Food storage and preparation areas are clean and inaccessible to pests. All sharps and knives were locked in a kitchen drawer. LPA observed a fire extinguisher in the kitchen was last serviced on 12/26/23. Laundry is located by the kitchen area and the washer/dryer appeared to be in good condition. All chemicals and detergents are kept locked and inaccessible to residents in care. 12:20pm LPA observed medications are centrally stored and locked in the cabinet, by the dining area and inaccessible to residents in care. There are six (6) bedrooms designated for residents’ use. All bedrooms are appropriately furnished and have appropriate lighting. Facility also has a room for a live-in staff. Bathrooms have soap, paper towels. Extra towels and linens were readily available. The hot water temperature measured at 120.0°F. The facility maintains a comfortable temperature at 77°F. The living room and dining area appeared clean and were properly furnished. No obstructions and or tripping hazards throughout the facility. At 12:40pm, LPA observed appropriate outdoor furniture, with a covered shaded area for residents. LPA discussed the importance of maintaining the care and supervision to meet the needs of residents. Smoke detectors and carbon monoxide were tested at 1:16pm and observed to be operational. Between 1:20pm am to 2:50pm, LPA reviewed records of six (6) client and three (3) staff. Client and staff records appeared to be complete and updated. LPA collected Certificate of Liability Insurance and LIC500. No deficiency cited during today's visit. Exit interview conducted and copy of this report signed and delivered.