Routine inspection·October 14, 2024

10/14/2024, Licensing Program Analyst (LPA) Loera conducted an unannounced Annual Required – 1 yr. inspection visit for this facility. LPA met with Administrator, Crystal Leser and Licensee, Elizabeth Allen. Facility has an emergency disaster plan as required. Facility has an infection control plan as required. There are currently 3 residents in care. Facility approved/cleared for 6 non-ambulatory, 1 bedridden, and hospice waiver for 2. At approximately 2:35 pm, LPA and Administrator toured the building and grounds. The facility was found to be at a comfortable temperature. LPA observed a 2 day supply of perishable and 7 day supply of non-perishable food. Refrigerated food was found to be stored in a safe manner being labeled and dated. Medications were found to be centrally stored. All rooms were equipped with lighting, night stand, and chest of drawers. All rooms were in good repair. Extra hygiene products and linens were available. Water temperature in sinks accessible to residents in care were measured at 108.2 and 115.3 degrees F which is within the range of 105 to 120 degrees F. Fire extinguishers were last inspected Sept, 2024. Smoke/Carbon Monoxide detectors located throughout the facility were tested and operational. Knives are located in the kitchen which were found to be locked and secured. Cabinets containing cleaning supplies were located in garage and found to be locked. Facility has a pool located in the backyard being gated and locked. LPA conducted spot medication count and found all prescription medication to be properly recorded on the Centrally Stored Medication Record. At approximately 2:50 pm, LPA conducted review of 3 staff records/training. Upon a review of staff records, LPA found all staff to have required annual and initial training as well as current 1st Aid & CPR certification on file. continued on LIC809-C At approximately 3:10 pm, LPA conducted a review of 3 resident records. All records had the required documentation. No deficiencies cited during today's inspection . Updated copies of the following documents were requested for facility file and are to be submitted to CCL within 30 days of this visit: LIC500- Personnel Report LIC308- Designation of Responsibility LIC400- Affidavit Regarding Client/Resident Cash Resources Liability Insurance Exit interview conducted with Administrator and a copy of this report was provided .