Routine inspection·August 14, 2024

Licensing Program Analyst (LPA) Jerome Haley conducted an unannounced visit for the purpose of conducting a required one-year annual inspection. LPA was greeted, granted entry by staff, and explained the reason for the visit before entering the facility. Around 10:30 am LPA Haley began the tour of the facility with staff. There were four residents present for the visit. Right next to the front door there is a screening station and sign in sheet. Next to the front door is a closet with comforters and board games. All resident bedrooms were clean, organized, and had all the necessary requirements: night stand, chair, lamp, and storage space. Resident bathrooms were clean and organized. Hot water temperature was measured in the range of 105.2 – 105.8 degrees Fahrenheit. The kitchen was clean and organized. All knives and sharp objects were locked under the sink. All burners on the stove were operational. The facility has a two-day supply of perishable food items and seven-day supply of nonperishable food items. The garage is used for storage and had clear walkways. There’s a washer and dryer in the locked garage and a supply of hazardous cleaning chemicals. There are additional refrigerators in the garage for the residents, and one for staff with an additional supply of food items. An additional supply of nonperishable items are stored in the garage as well as a supply of fruit. There’s a supply of COVID items, including gloves, gowns, N95 mask, hand sanitizers, and disinfectant sprays for use in a large bucket. Miscellaneous items for the facility including a wheelchair, and a locked filing cabinet for resident and staff files. The backyard was clean and well organized. Walkways were free of obstruction. There's a table with chairs and a sun shade. There’s a locked storage shed in the backyard with a supply of various facility items. In the lock shed is an emergency supply of food, mattresses, bed frames, walkers, and other items. Continued on LIC809C There were no bodies of water observed. All smoke detectors were tested and are operational. The carbon monoxide detector tested operational. Emergency evacuation drills are conducted quarterly, and the last drill was conducted April 15, 2024. A review of all resident files and medications was conducted, as well as a review of 3 staff files. No deficiencies are being cited during today’s visit. An exit interview conducted, and a copy of the report was provided.