Routine inspection·April 10, 2025

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. The licensee was present upon arrival and the Administrator arrived about an hour later. During the inspection, LPA Haley observed a locked closet right next to the front door used to store resident medications and resident files. Under the staircase, there is a locked storage space for additional hygiene items for the residents. Resident bedrooms were clean, organized, and had the necessary elements and were in compliance with regulation guidelines. Resident bathrooms were clean and organized as well. Hot water temperatures were measured at 105 degrees Fahrenheit. Hazardous items are kept under the sink in a locked cabinet. The kitchen is kept locked at all times when staff is not present. A perishable and non-perishable food supply that meets regulation requirements was observed. Knives are kept hidden in the pantry. All four burners and the warmer on the stove were operational. No hazardous cleaning chemicals were observed under the sink. Between the kitchen and garage is a locked office area where staff files are kept. The garage remains locked and inaccessible to residents at all times. The garage was clean and organized. Two cars were parked in the garage. A refrigerator with plenty of perishable food items was observed as well as an emergency supply of water being stored in the garage. A laundry area equipped with a washer and dryer was observed. Continued on LIC809C The backyard was organized, and walkways were free of obstruction. A storage shed with facility supplies and hazardous cleaning chemicals was observed. A jacuzzi with a secured covering under a shaded patio area was observed. There’s a locked storage room with plenty of non-perishable food items for the residents. An emergency food supply was observed. There were plenty of accessories for facility use being stored in the locked storage room. Tables and chairs were observed in the backyard area. Smoke detectors, and the carbon monoxide detector tested operational. A fully charged fire extinguisher was observed mounted on the wall in the kitchen. Emergency evacuation drills were conducted monthly. The last evacuation drill was conducted March 5, 2025. During the inspection, 4 resident files were reviewed, 5 resident medications reviewed, and 3 staff files were reviewed during the visit. A deficiencies will be cited as a result of today’s visit. An exit interview conducted, and a copy of this report and appeal rights were provided.