Routine inspection·August 15, 2024

Licensing Program Analysts (LPA) Jerome Haley and Samer Haddadin conducted an unannounced visit for the purpose of conducting a required one-year annual inspection. LPAs were greeted, granted entry by staff, and explained the reason for the visit before entering the facility. Administrator Maria Hunter contacted Licensee/Administrator Kenneth Hunter who arrived a short time later and was present the remainder of the visit. Around 09:20 am LPAs began the tour of the facility with staff. There were two residents present for the visit. Right next to the front door there’s a closet with shoes and jackets, and PUB 475 poster hanging next to the front door. 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 112.1 – 118.4 degrees Fahrenheit. The kitchen was clean and organized. Knives and sharp objects were locked in a drawer near the stove. 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. There’s a laundry area in the back of the kitchen with a washer, dryer, locked cabinets with a supply of cleaning chemicals, and a pantry area with an additional supply of nonperishable food items. The backyard had a shaded area with tables and chairs for the residents to enjoy. There's a pool in the backyard surrounded by a 5-foot self-latching gate. There’s a locked storage shed in the backyard used to store various facility items. In the lock storage area, there was an additional refrigerator with a an additional supply of perishable food items, walkers, wheelchairs, and other items. The garage is lock, off limits to residents, and used as a workshop for the licensee. In the garage, several tools, bicycles, and a motorcycle was observed. Continued on LIC809C All smoke detectors were tested and are operational, and the carbon monoxide detector tested operational. Emergency evacuation drills are conducted quarterly, and the last drill was conducted in April 2024. Licensee/Administrator Kenneth Hunter was advised to keep a log of all the evacuation drills that are conducted and include the name of all staff and residents in attendance. A review of resident files and medications was conducted, as well as a review of 2 staff files. Deficiencies are being cited as a result of observations made during todays annual inspection. An exit interview conducted, and a copy of the report and appeal rights were provided.