Routine inspection·May 6, 2025

Licensing Program Analyst (LPA) Tuesday Cabiness conducted unannounced Annual Required inspection. LPA entered the facility and (3) staff where on duty. LPA informed staff the purpose of the visit, who contacted the Administrator, and arrived shortly after. Currently the facility’s census is (4), with (1) resident on hospice. LPA observed facility license and sketch, emergency disaster plan, grievance/complaint procedures, personal rights, rights of resident council, resident bill of rights, and emergency disaster plan visibly posted on the wall. LPA toured the physical plant inside and outside with staff. LPA inspected resident bedrooms, bathrooms, and common areas, to ensure there were no health and safety hazards and facility is in compliance with Title 22 Regulations. The facility has (6) bedrooms, with (1) room for staff and (2) bathrooms. Inside temperature was comfortable, and LPA observed all areas to be clean and appropriately furnished for resident’s comfort and safety. LPA reviewed the food service and storage area, and it was observed to have a sufficient supply of perishable and nonperishable. The facility stores extra refrigerator in the garage, with fresh fruit, vegetables, and frozen meat. Storage areas for toxins, knives, and medication were locked and secured. Hot water temperature measured at 118.4 degrees Fahrenheit. Bathrooms are provided with soap, towels, non-skid mat, and grab bars were located by shower and toilet. Smoke and carbon monoxide detectors are hard-wired and were operating correctly. Fire extinguishers are fully charged. First aid kit had sufficient supplies and first aid manual. The backyard had clear passageways and free from obstruction, with gates easily accessible. Patio furniture area had comfortable table and chairs for residents. LPA checked centrally stored and medication records, and staff and resident files. Exit interview copy of report provided to Administrator.