Routine inspection·August 14, 2023

Licensing Program Analyst (LPA) Felisa Shirley conducted an unannounced required annual visit with a primary focus on Infection Control measures using the CARE Inspection Tools. LPA met with Staff Daisy Samparani, and the purpose of this visit was explained. There are currently six (6) residents in placement. The facility is a single-story home situated in a residential neighborhood with a driveway. The facility consists of a living room, family room, dining room, kitchen, four (4) bedrooms, two (2) full bathrooms, living room, dining room, kitchen and laundry area. LPA walked through all four (4) rooms. Bedrooms 1 - 4 are designated for the resident’s individual use. All bedrooms contained a bed, dresser, nightstand, chair. Beds have the required linen supplies which include, pillowcases, mattress pads, fitted sheets, blankets, and bedspreads. All bedrooms are equipped with a ceiling light. All rooms had a dresser/storage area, which complies with the requirement of 8 cubic feet of space. All rooms had closets for ample storage. The home has two (2) bathrooms. Bathrooms are adjacent to each bedroom. All bathrooms have a working toilet, washbasin, and shower with grab bars and non-skid mats. The water delivers at 115.1 F. The kitchen counters also had small appliances. Stove burners, oven, microwave, washer, and dryer are working. Dishes, cups, and flatware are stored in the kitchen cabinets, inspected, and in good repair. Knives, cutlery, and other sharp kitchen utensils are stored in a locked drawer. Food supply is adequately stored in kitchen cabinets and consists of boxed and can goods. The home is equipped with central heaters and air conditioning systems. Smoke and carbon monoxide detectors are throughout the interior space . All toxins are locked and stored under the kitchen sink cabinet and in the garage. Con'd on 809-C A first aid kit is stored in the facility with a first aid manual. The rear exterior is fenced throughout. The passageways, walkways, and steps are free from obstructions. LPA observed no deficiencies that needed to be corrected. An exit interview was conducted, and a copy of this report has been furnished to the administrator, Walkiria Whitford.