Routine inspection·December 5, 2023

On 12/5/2023, Licensing Program Analyst(LPA) D. Ayers arrived unannounced at the facility to conduct a Required Annual Inspection. LPA met with Administrator Cyrul Tupino and announced the purpose of the inspection. At the time of inspection there were six residents residing in the facility, three of whom were receiving hospice care services.. LPA toured the facility inside and outside. Pathways and doors were clear and free from obstruction. Smoke-detectors and carbon-monoxide detectors were present and operational. Facility was clean and odor free. LPA observed sufficient amount of perishable and non-perishable foodstuffs. Common areas were clean, adequately furnished, and adequately lit. Resident bedrooms were clean and had required minimum furnishings. Resident bathrooms were clean, odor free, and water temperature was within required temperature range. Sharp items and detergents were secured in a locked cabinet in the kitchen. Medications were secured in a locked cabinet in the kitchen, and medications appeared to be administered properly. The fence had a self-locking latch mechanism, and there was adequate outdoor seating for residents. LPA observed a a supply of clean linens and extra hygiene items for residents. LPA reviewed facility plan of operations and emergency disaster plan. LPA reviewed a sample of staff and resident files. Files contained required documantation and records. LPA requested the following documents: LIC 500 Personnel Report, LIC 308 Designation of Administrative Responsibility, LIC 610-E the Emergency Disaster Plan, proof of liability insurance, and a copy of current Administrator’s Certificate to update the facility file. No deficiencies were cited during the inspection, exit interview conducted with Licensee, a copy of the report was provided.