Routine inspection·April 3, 2024

On 04/03/24 Licensing Program Analyst (LPA) Villegas conducted an unannounced annual required visit using the CARE Inspection Tool. LPA met with Caregiver Tana Lord as the purpose of the visit was explained. The facility is licensed to serve (6) non-ambulatory of which (1) may be bedridden elderly adults ages 60 and over. There is an approved hospice waiver for (6). Current facility census is (4). Staff provided with upcoming facility fees info ($495). Liability insurance is active with expiration date of 06/19/2024. The facility is a single-story structure located in a residential neighborhood and consists of the following: (6) resident bedrooms, (3) resident bathrooms, living room, dining room, family room, kitchen, office area, attached garage with washer and dryer/ storage area, backyard with table and chairs. Bedrooms were checked, mattresses and box springs were in good condition, adequate lighting, plenty of dresser and closet space was observed. Bathroom toilets and water faucets worked properly, shower was free of mold/mildew, and there are sufficient toiletries accessible to residents. The water temperature properly measured between 105-120 F.. A supply of perishable and non-perishable food was observed, toxins and knifes were stored and inaccessible to residents, no weapons nor bodies of water on the premises, exits and walkways are free of debris/hazards. LPA conducted a records review of 2 staff records, 2 resident records, and 2 medication administration records, no discrepancies observed. Medications were centrally stored and properly locked, first aid kit was checked and fully stocked. The last fire was conducted on 03/05/24, carbon monoxide and smoke detectors are interconnected and operational. (3) Fire Extinguishers were checked and found to be fully charged and accessible . All exit doors and windows in the facility have alarm systems. Deficiencies cited on 809D Exit interview conducted with, Caregiver Tana Lord appeal rights explained, and a copy of this report was provided.