Routine inspection·January 31, 2025

Licensing Program Analyst (LPA) Melissa Spaeth conducted an unannounced visit and was greeted by the caregivers. LPA Spaeth stated the purpose of the visit was to conduct an annual inspection. The caregiver confirmed there are three residents living in the facility. The Administrator, Claire Francisco arrived at 10:30 am. The facility is licensed for six non-ambulatory residents in rooms 1, 3, 4 and 5 of which one bedridden may be bedridden in bedroom 5. Room 2 is the designated staff room. LPA Spaeth reviewed the residents' files at 11:00 am until 11:20 am. LPA toured the facility at 11:20 am until 12:00 pm and observed the following: Living Room – The room contained comfortable seating and a television. Kitchen/Dining Room - The facility contained a seven-day supply of non-perishable food and a two-day supply of perishable foods. The knives were locked in a kitchen cabinet. The cleaning solutions were locked underneath the kitchen sink. The medications were locked in a kitchen cabinet. LPA observed the first aid kit was securely locked in the kitchen. Cleaning supplies were also locked in a kitchen cabinet. A fire extinguisher is also located in the kitchen. Appliances in the kitchen appeared to be functional. The dining room area contained a dining room table and chairs. Backyard - The backyard contained a shaded area with comfortable seating. The side gate leading from the backyard to the front yard was not locked. Continued on 809-C Bedrooms –LPA Spaeth observed the bedrooms were furnished with a bed, linens, night stand, lamp, chest of drawers, a chair and a closet. Bathrooms - There are three bathrooms which contained hand soap, grab bars, non-skid mats, paper towels, and trash can. The water temperature was recorded at 11:50 am and was 108.0 degrees F. Hallway - The hallway cabinet contained clean linens. Laundry Room – the laundry room was locked and contained the washer and dryer. Garage - LPA observed there were no safety issues. Egress - LPA observed the egress system were properly working at each exit door. LPA reviewed staff records at 11:50 am until 12:10 pm. and checked the residents' medications at 12:10 pm until 12:20 pm. The smoke and carbon monoxide detectors were tested at 12:15 pm and were operable. The facility was clean and appears to be in good repair. There are no deficiencies to report at this time. Exit interview conducted and a copy of the report was given.