Routine inspection·March 27, 2025

At 9:45am, Licensing Program Analyst (LPA) Angela Panushkina arrived at the facility to conduct an unannounced annual inspection. Upon arrival, LPA met with Staff #1, who granted access to the facility. The Administrator arrived shortly after and LPA explained the reason for the visit. At 10:00am LPA conducted a tour of the physical plant and observed the following: Facility is licensed for capacity of six (6) Bedridden and an approved hospice waiver for six (6) residents. Facility has an awake staff. Facility maintains a temperature of 75°F. LPA 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 knives were observed to be locked in the kitchen drawer. The fire extinguisher is located in the kitchen and dining areas and were last serviced on 02/19/2025. Facility maintains a temperature of 72°F. Medications were stored in the kitchen cabinet and observed to be locked and inaccessible to residents in care. Resident/staff files are kept in a metal cabinet, located in the dining area and kept locked. There is a complete first-aid kit in the cabinet with all required supplies and with the first aid manual. There are six (6) bedrooms designated for residents’ use, and three (3) and 1/2 (half) bedrooms. Bedrooms are appropriately furnished and have appropriate lighting. Bathrooms have soap, paper towels and all trash cans have a lid. Extra towels and linens were readily available. The hot water temperature measured at 106.2°F. Laundry is located by the garage. Continue on LIC809-C The washer/dryer appear to be in good condition. Laundry supplies, chemicals and detergents are kept locked in the garage and inaccessible to residents in care. Smoke detectors and carbon monoxide monitors were tested at 10:50am and observed to be functional. At 11:00am, LPA observed appropriate outdoor furniture, with a covered shaded area for residents. There is a swimming pool that is fenced all around with a gate that will be kept locked at all times. The fence surrounding the swimming pool is approximately 5 feet high all around. You will need a key to gain entry to the swimming pool as it is kept locked at all times. Between 11:10am to 12:10pm, LPA reviewed records of four (4) residents and two (2) staff. Resident and staff records appeared to be complete and updated. Annual fee paid in full. LPA collected Certificate of Liability Insurance and LIC500. No citations issued during this visit. Exit interview conducted and copy of this report signed and delivered.