Routine inspection·March 12, 2025

At approximately 12:25 PM, Licensing Program Analyst (LPA) Elias Magdaleno arrived unannounced to conduct a required 1-year annual inspection and was greeted by Staff. Administrator Christine Arnke arrived at approximately 12:30 PM. Facility is a Residential Care Facility for the Elderly (RCFE) with six ( 6 ) residents in care. Facility has a Dementia Care Plan, a Hospice waiver for six (6), with five (5) Hospice residents currently in care, and is approved for five (5) non-ambulatory residents, and one (1) bedridden. At approximately 12:40 PM , LPA initiated a tour of the facility with Administrator and observed the following: Facility is a one-story home, was a comfortable temperature, and passageways were free from obstructions. Fire extinguishers were last inspected 10/2024 . Smoke and Carbon Monoxide detectors were tested and operational during inspection. Water temperatures measured 119.4 degrees F and 107.5 degrees F which is within the allowable range of 105 to 120 degrees F per Title 22 regulations. LPA observed a supply of clean linens, hygiene, incontinent care, and paper products available for residents. Residents' bedrooms were inspected and observed to have all the appropriate furnishings as outlined in Title 22 regulations. Cabinets containing cleaning supplies and other items that could pose a risk were locked. LPA observed at least a 2-day supply of perishable and 7-day supply of non-perishable food. Food was found to be stored in a safe manner with open items covered. There is a shaded seating area in the backyard with outdoor space for activities. LPA was informed that facility hosts various live musical performances by choirs and students on a regular basis as well taking residents for walks in the community. Facility has an internet access device designated for resident use and internet service available. Continued 809C... Continued from 809... At approximately 1:30 PM LPA conducted review of five (5) staff records. All required documentation present. At approximately 2:00 PM LPA conducted a review of five ( 5 ) resident records. All required documentation present. At approximately 2:30 PM LPA and Administrator conducted a spot check of medication and medication records. Medication is centrally stored and locked. Christine Arnke Administrator Certificate 702438740 expires 08/08/2025 . All fees are current as of this time. LPA and Administrator discussed facility's Emergency Disaster plan, No new updates. Facility’s last quarterly disaster drill was conducted on 1/2025 . Updated copies of the following documents were requested for facility file and are to be submitted to CCL within 30 days of this visit: Liability Insurance LIC500- Personnel Report LIC308- Designation of Responsibility LIC604 – Admission Agreement (blank form) No deficiencies cited. Exit interview conducted with Administrator and a copy of this report was given.