Routine inspection·November 1, 2024

On 11/01/24, Licensing Program Analyst (LPA) Regina Cloyd conducted an unannounced required – annual inspection and met with House Manager Sabina Dioneda. LPA spoke with Administrator Matthew Palmer over the phone. Facility is licensed to serve six (6) non-ambulatory residents of which two (2) may be bedridden. The facility also has an approved hospice waiver for six (6) residents. The home consists of one staff room, four resident rooms, two bathrooms, kitchen, dining room, living room, and a garage. The facility is clean, sanitary, and in good repair. Protective devices are in place, including non-slip mats and grab bars in all showers. Caregiver 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. Continue to LIC809-C. Common areas were clean, clear of hazards, and doorways were free of obstructions. 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 September 2023 was observed in the kitchen and dining area. Fire prevention inspection was conducted on 02/29/2024. Five staff records were reviewed and five out of five staff records had current first aid certificates and required criminal record clearances or criminal record exemptions. Three resident records were reviewed and three out of three resident records had medical assessments and pre-appraisal or reappraisals. Two residents’ medications was reviewed. Deficiencies are being cited. Based on record review, staff #2 - #4 did not complete their annual training (see LIC809-D). An exit interview was conducted, technical assistance provided, and a copy of this report with appeal rights was discussed and left with the House Manager Sabina Dioneda.