Routine inspection·October 3, 2024

On 10/03/24, Licensing Program Analyst (LPA) Regina Cloyd conducted an unannounced required – annual inspection and met with President Coty Cabral. The facility is licensed to serve six (6) elderly residents, all of which (6) may be non-ambulatory with a hospice waiver approved for four (4) aged 60+ years. The facility consists of one floor level with: four resident rooms (Room 2 is designated for bedridden), two restrooms, kitchen, dining room, living room, and garage. The facility is clean, sanitary, and in good repair. The President accompanied LPA inside and outside the facility during this inspection. Outside grounds were toured and no bodies of water were observed. Walkways around the home were clear of hazards. Resident bedrooms had the required furniture, bed linens and closet/drawer space to accommodate each resident comfortably. There are no security bars or weapons on the premises. Resident bathrooms were checked. Toilets and water faucets worked properly, grab bars were secure, shower was free of mold/mildew and a non-skid mat was in place. Resident bath towels, toiletries and personal hygiene supplies were adequately stocked. Common areas were clean and clear of hazards. Doorways were free of obstructions. Continue to LIC809-C. LPA toured the kitchen area and observed a two-day supply of perishable and a seven-day supply of non-perishable food. Knives and toxins were kept in locked storage cabinet. First Aid kit was available. Two fire extinguishers, last serviced on July 8, 2024 was observed in the living room and in the kitchen. Staff tested the carbon monoxide and smoke detectors in the house. Both devices were functional. Five staff records were reviewed, and five out of five staff records had the required criminal record clearances or criminal record exemptions. Four resident records were reviewed, and four out of four resident records had medical assessments and pre-appraisal or reappraisals. Two residents’ medication was reviewed. No deficiencies are being cited. An exit interview was conducted, technical assistance provided, and a copy of this report was discussed and left with President Coty Cabral.