Routine inspection (multi-day)·July 11, 2024

Licensing Program Analyst (LPA) Emily Peraldi conducted an unannounced Case Management - Annual Continuation at the facility today continuing the inspection that began on 01/27/2024. At 12:35 p.m., the LPA met with the Licensee and Coordinating Manager and explained the reason for the visit. RECORD REVIEW: Starting at 12:44 p.m., the LPA reviewed resident records for four (4) out of four (4) residents. Resident records were reviewed for, but not limited to care plans, medical records, admissions agreement, and consent forms. All files were in order. The LPA conducted a personnel file review for all staff regularly scheduled and reviewed for, but not limited to: health assessments, criminal record clearances, first aid/CPR training, and the appropriate training. Personnel files reviewed were observed to be in compliance. At 2:28 p.m., the LPA conducted a review of medication and medication documentation with the Licensee for four (4) residents. No errors observed during the medication review. At 2:29 p.m., the LPA conducted a brief physical plant tour to ensure there are no health and safety hazards. No deficiencies cited at this time. Exit interview conducted. A copy of the report of provided.