Routine inspection·October 20, 2023

On 10/20/23, Licensing Program Analyst (LPA), Wendy Gibbs conducted an unannounced annual visit using the full CAREs tool. LPA met with Caregiver, James Okeuhie, and explained the purpose of today’s visit. The facility is licensed to serve clients aged 60 and over, six non-ambulatory. They have an approved Hospice Waiver for six residents. There are currently 4 residents residing at the facility. Physical Plant/Structure The facility is a single-story structure located in a residential neighborhood. It consists of the following: three (3) bedrooms, 2 bathrooms, living room, kitchen, dining room, family room, garage, and a shaded area. LPA toured the inside and outside grounds of the facility with staff. All walkways on the side of the facility were clean, clear, and free of obstruction, debris, and hazards. There were no bodies of water observed. Bedrooms All bedrooms were inspected. All rooms have the required furniture including a bed(s), dresser(s), nightstand(s), chair(s), and storage space for residents’ personal belongings. All beds were observed to have the required linens including a mattress cover, fitted sheets, blanket, comforter, and pillows. LPA observed an ample supply of bed linens in a hall cupboard that were in good repair. All bedrooms were observed to have ample lighting. Bathrooms LPA inspected all bathrooms. Bathrooms were found to be within Title 22 regulations and were clean and operational. All bathrooms had secured handrails, nonskid mats, and a shower chair. LPA observed an ample supply of hygiene products and towels stored in a cupboard in the hall. The water temperature measured 118.3 and 119.2-degrees Fahrenheit. Kitchen LPA inspected the kitchen and found it to be clean and sanitary. All appliances were tested and are in good working condition. LPA observed an ample supply of cutleries, pots, and pans in good repair. LPA observed a 3-day supply of perishable foods and a 7-day supply of nonperishable foods. All food was properly labeled and stored. The water temperature measured 119.8-degrees Fahrenheit. All sharps were observed in a locked drawer in the kitchen and are inaccessible to residents. LPA observed all cleaning products secured in a locked cabinet under the sink and are inaccessible to residents. Common Rooms LPA inspected all common rooms. LPA observed two couches and activities in the family room for resident use. The living room has 5 recliners for residents. LPA observed a screened fireplace that is inaccessible to residents. The dining room has a large table and chairs to accommodate all residents. LPA will return to complete file review and medication review. An exit interview was conducted with Caregiver, James Okeuhie, and a copy of this report was provided.