Routine inspection·July 9, 2024

On 7/9/24, Licensing Program Analyst (LPA) B. Miranda arrived at the facility unannounced to conduct a required Annual Inspection visit. LPA introduced herself, stated purpose of visit, and was allowed entrance by staff. Administrator Lita Williams was contacted, and arrived shortly after. LPA toured the facility inside and out including entry, kitchen, dining, living room, bedrooms, bathrooms, and exterior. LPA observed facility to have a sprinkler system, but Administrator stated it has not been serviced for a few years. Medications are stored in a locked cabinet in the kitchen. Knives and sharp objects are secured in the kitchen. LPA observed tools to be in unlocked drawer in the kitchen. LPA observed some unlocked toxins under the sink and in a cabinet next to the sink. Facility has 9 bedrooms, 6 of which are for residents. There are 4 bathrooms, 2 which are for residents. Residents not share bedrooms. Fire extinguishers show charged but were last serviced 7/27/22. There are currently no smoke alarms in the facility. Administrator was unable to provide proof at this time the sprinkler system is in working condition. Carbon monoxide detector was tested and in working condition. Water temperature was checked in one resident's bathroom and read at 119.8 degree Fahrenheit. LPA did observe some of the following deficiencies: food being stored and not properly labeled/dated, non-perishable items being kept in the garage with pest issue (droppings), medication not being properly recorded on centrally stored log, audio alarms not on, resident's room being used to access outside while throwing trash. LPA will return at a later date to complete annual inspection and issue citations. Exit interview was conducted and a copy of this report LIC809 was provided to Administrator Lita Williams.