Routine inspection·September 23, 2022

Licensing Program Analyst (LPA) Jenifer Tirre conducted an unannounced visit for the purpose of conducting a required annual visit. LPA was greeted, granted entry into the facility and explained the reason for the visit. During the visit LPA toured the facility with Administrator Betty Burgos. Facility is a 5 bedroom,( 4 resident bedrooms 1 Upstairs staff bedroom) and 3 bathrooms two story home. There are 6 Residents in care. LPA observed proper covid signage at front entrance of facility. Facility has required Department postings. LPA toured all Residents rooms, all rooms had required furnishings such as bed, mattress, dresser, night stand and lamp. All restrooms observed contained soap, toilet paper, and towels. Restrooms had proper hand washing signs posted. Residents were observed relaxing in the Living room watching TV, eating lunch at dining table and reading. Facility has 2 fully charged Fire Extinguishers. Facility has supply of PPE goods. Facility has refrigerator and pantry with perishables and non- perishables food supply. Facility has emergency food and water supply. Facility has a secured location for resident medication and files. Facility has 30 days supply of medications for Residents. LPA reviewed Residents files during visit. LPA observed 6 of 6 Resident files during visit. Residents emergency contact information and Physicians reports are current. Facility has several designated visitation areas. LPA observed Hallways and walkways free of debris and clutter. No deficiencies noted during todays visit. An exit interview was conducted with Administrator Betty Burgos and a copy of report and confidential names list was provided to facility.