Routine inspection·November 2, 2024

On 11/02/2024, Licensing Program Analyst (LPA) Regina Cloyd conducted an unannounced required – annual inspection and met with the House Manager. The Administrator Matthew Palmer joined us later. The facility is licensed for (6) non-ambulatory of which (1) maybe bedridden for ages 60 and above. It is also licensed for (6) hospice residents. Currently, there are (2) residents on hospice and (1) bedridden resident. Facility is a one-story family home with (6) bedrooms, (2) full bathrooms, (½) half bathroom, living room, dining room, office area, closet/storage space located in the hallway, kitchen, patio, and backyard. A one (1) car attached garage is located on the front of the property. Front yard landscape is in good condition at time of visit. There is one wheelchair ramp on the left front side of the house that connects to the back-left side of the backyard. There is one located on the center patio deck across from the living room. One located center back against the home, and one located to the right-hand side of the kitchen and dining room. Washer/Dryer appliances are located in the garage. The facility is clean, sanitary, and in good repair. The House Manager 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. Continue to LIC809-C. 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, and hot water temperature properly measured between 108-degree F. Resident bath towels, toiletries and personal hygiene supplies were adequately stocked. Common areas were clean and clear of hazards, 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 kitchen cabinet. First Aid kit was available. One fire extinguisher, last serviced October 4, 2023 was observed across from the kitchen area. House Manager tested the carbon monoxide detector and smoke detectors in the house. Both devices were functional and interconnected. Five staff records were reviewed and 5 out of 5 staff records had required criminal record clearances or criminal record exemptions. Five resident records were reviewed and 5 out of 5 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 the Administrator Matthew Palmer.