Routine inspection (multi-day)·August 14, 2025

On 08/14/2025, Licensing Program Analyst (LPA) Daiquiri Boyd made an unannounced visit for the purpose of completing the Annual Inspection. LPA met with Executive Director(ED) Robert Huntley to continue this inspection. Dining Room, Kitchen, and Memory Care kitchen needed cleaning of walls, cabinets, drawers, and refrigerator. Evidence of bugs observed in Memory Care kitchen cabinet Two items opened and not stored/closed properly in pantry and refrigerator, food items not labeled Sink plumbing was observed to be leaking or in need of repair. Cleaning chemicals and Sterno-burner fuel were observed in an unlocked cabinet in main Dining Room. LPA reviewed Infection Control Plan and found that it was reviewed on 7/30/25. An updated Emergency and Disaster Plan is needed as the form that was used is outdated. LPA reviewed Fire System documentation and found it was tested and cleared on 3/24/25. Carbon Monoxide detectors are dual with smoke detectors in the cottages and there are separate units outside of the kitchen and the boiler rooms. These are tested by maintenance monthly. All were in working order. Facility to provide updated LIC610E-Emergency and Disaster Plan, current Liability Insurance, and LIC500 to Licensing by 8/25/2025 Citations were issued per Title 22. Exit interview was conducted and a copy of this report LIC809, LIC809D, and appeal rights were provided to Executive Director Robert Huntley.