Routine inspection·June 28, 2024

At 10:45am, 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. At 10:55am LPA conducted a tour of the physical plant and observed the following: Facility has four (4) bedrooms of designated for resident’s use, fthree (3) bathrooms and one staff room (room #1). Facility is licensed for capacity of six (6) of which six (6) non-ambulatory and one (1) bedridden resident. It has also been approved for a hospice waiver for four (4) residents. LPA was able to tour the home and did not observe any immediate health and safety concerns. Facility maintains a temperature of 74°F. LPA observed there to be sufficient stock of one-week non-perishable foods and two-day perishable foods. Frozen foods are properly wrapped and stored appropriately. Food storage and preparation areas are clean and inaccessible to pests. The fire extinguisher was observed in the kitchen and the living room area and was last serviced on 10/27/24. Sharps, cleaning supplies and medications are centrally stored and are kept locked in various kitchen cabinets and drawers. Bedrooms are appropriately furnished and have appropriate lighting. Bathrooms have soap, paper towels and hand washing signs were observed. The hot water temperature measured at 116.4°F. Extra towels and linens were readily available. Laundry area is also located by the kitchen area and LPA observed all chemicals and detergents are kept locked and inaccessible to residents. At 12:45pm, smoke detectors and carbon monoxide monitors were tested and observed to be functional. The facility has a swimming pool that is fenced all around with a gate and will be kept locked at all times. The fence surrounding the swimming pool is approximately 5 feet high all around its parameters. LPA also observed a clean covered patio and backyard furniture to accommodate the six (6) residents . LPA discussed the importance of maintaining care and supervision to meet the needs of residents. Between 1:10pm to 2:00pm, LPA reviewed records of five (5) residents and two (2) staff. Resident and staff records appeared to be complete and updated. LPA collected Certificate of Liability Insurance and LIC500. No citations issued during this visit. Exit interview conducted. Copy of report emailed to Licensee.