Routine inspection (multi-day)·April 7, 2025

At approximately 11:00AM, Licensing Program Analyst (LPA) Chris Arnhold arrived at this facility unannounced to continue a required 1 Year inspection. LPA met with Administrator Isaac Rolle and explained the purpose of the visit. At approximately 11:15AM, LPA conducted a review of medications. Medication is locked and not accessible. First aid kit was present. All employees requiring background checks are cleared. Facility has been conducting drills monthly. At approximately 11:40AM, LPA reviewed 4 of 4 resident files. All resident files contained the required documentation. Reappraisals were conducted within the last 12 months. Documentation of physician visits within the last 12 months or a signed declination were present. At approximately 12:15PM, LPA reviewed 3 staff files. Staff files reviewed contained evidence of completed annual training. First Aid/CPR certification was current. 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 LIC610E- Disaster Plan Evidence of Liability Insurance No deficiencies were observed in the areas inspected, No citations were issued during today’s visit.