Routine inspection·November 14, 2024

At 12:20pm, Licensing Program Analyst (LPA) Angela Panushkina arrived at the facility to conduct an unannounced annual inspection. Upon arrival, LPA met with the Staff #1 (S1) who granted access to the facility. Administrator arrived shortly after and LPA explained the reason for the visit. Facility is licensed for capacity of six (6) Bedridden residents. Hospice waiver for six (6) residents was approved on February 5th, 2024. At 12:30pm, 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 appropriately. Food storage and preparation areas are clean and inaccessible to pests. All sharps and knives were locked in a kitchen drawer. The facility has two (2) fire extinguishers located throughout the facility and were observed to be full. 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. Medications were stored in a locked, hallway closet. There are five (5) bedrooms designated for clients’ 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 and hand washing signs were observed. Extra towels and linens were readily available. The hot water temperature measured at 120.0°F. Facility maintains a temperature of 70°F. Smoke detectors and carbon monoxide monitors were tested at 1:30pm and observed to be functional. 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. Between 1:00pm am to 2:00pm, LPA reviewed records of six (6) client and two (2) 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.