Routine inspection (multi-day)·August 15, 2025

On Friday, 8/15/25, Licensing Program Analyst, (LPA) Raymond Comer, arrived to continue the required annual Inspection initiated on 08/14/2025. LPA met with Administrator, Adam Syncheff, and the purpose of visit was disclosed. The following remaining domains were observed, reviewed and inspected : Medications: Medication room is located on first floor by the Administrator’s office; LPA observed room as locked and inaccessible to residents. Inside the room, medications are properly labeled, and stored in secured cabinets. Resident medication documentation and distribution records appear to be complete. First aid kits were observed on carts stored in the medication room. Laundry: At 1:25pm, LPA observed the laundry room located on sub-floor, adjacent to the kitchen. Laundry area is inaccessible to residents, and is clear from obstruction. Laundry machines are functioning properly. Detergents, cleaning supplies, and other toxins are securely stored and inaccessible to residents. Bedrooms: LPA observed accommodations in resident bedrooms and bathrooms for safety, privacy, and comfort. Eight (8) resident rooms (#110, #113,#117, #119, #207, #208, #230, #233) were inspected and observed to maintain required furnishings, sufficient lighting, bed linens, and blankets. All bedrooms were observed to be clean and clear from obstruction. [Continued on LIC 809-C] Bathrooms were observed to be clean and sanitary, with necessary supplies and required safety fixtures (grab bars, anti-slip floor stripping). Hot water temperature measured between 107°F and 109°F; Within the required range. Outdoor : Courtyard area(s) observed to have a shaded patio, with table with sufficient seating for the residents. Outdoor furniture observed to be in good condition. All trash cans were observed to be covered. There are no bodies of water in the facility. Staff records: A total of six (6) Staff files were reviewed. Criminal record clearances were present and Staff are associated to this facility. Staff records appear to be complete and current. Resident records: A total of seven (7) Resident files were reviewed for current IPP and/or needs and services plans, physician report, admission agreements, pre-admission appraisals\reappraisals, medication logs, and resident identification. Resident records appeared to be complete and current. There were no immediate health and safety hazards observed at the time of this inspection. Exit interview conducted and a copy of this report was given to facility Administrator.