Routine inspection·June 29, 2023

Licensing Program Analyst Bertozzi arrived unannounced to conduct an Annual Required Inspection and met with Administrator, Theresa Jones. LPA initiated a tour of the facility around 9:00 am and made the following observations: Facility was a comfortable temperature and passageways were free from obstructions. Resident rooms were furnished per regulation. Water temperature in sinks accessible to residents in care measured at 113, 114 and 117 degrees F which are within allowable range of 105 to 120 degrees F. Extra hygiene products and linens were available. Bathrooms had required bath mats and grab bars. Medications are stored in a medication room and inaccessible to residents in care. Cleaning supplies are stored in locked janitor closets and housekeeping carts. Facility has at least two days of perishable and one week of non-perishable foods that appeared to be of quality and was stored per regulation.. Fire extinguishers were last serviced January 2023. Carbon Monoxide detectors were tested and operational. Facility has a fire alarm system that is maintained by a vendor and the most recent inspection was conducted November 2022. Most recent fire/disaster drill was conducted 5/12/2023 Six staff files and eight resident files were reviewed. Staff have required First Aid and CPR certificates. Administrator Certificate for Administrator, Theresa Jones 6063677740 expires 8/22/2024 . Medications and medication records were reviewed. Training records were reviewed. Required postings were observed. Continued on LIC809C Continued from LIC809 Administrator provided LPA a copy of their liability insurance. Administrator to submit updates of the following documents by 7/29/2023: LIC 610 Emergency Disaster Plan (If changes) Infection Control Plan (If changes) No deficiencies cited during this inspection.