Routine inspection·March 24, 2022

On this day Licensing Program Analyst (LPA) Jenifer Tirre conducted an unannounced visit for the purpose of conducting a required annual visit. LPA was greeted and was granted entry into the facility by Staff. LPA observed a check in table upon entry which contained hand sanitizer and masks. LPA explained the reason for the visit. LPA Tirre toured the facility at 2:51 PM with Caregiver Cathy Mones. Facility is a 5 bedroom 2 bathroom single story home. At time of visit there were four Residents in care. LPA observed residents relaxing in bedrooms and watching TV in dining area. Residents appeared clean in appearance. LPA observed facility has required Department postings. Proper hand washing signs posted in facility restrooms. All restrooms observed contained working water basin, soap, toilet paper and hand towels. LPA observed locked areas for toxins and hazardous items. LPA toured Resident rooms, rooms where within regulations. LPA observed the emergency disaster and evacuation plans posted. LPA observed Administrator certificate expiring 11/19/22. Facility has refrigerator and pantry with ample food supply. LPA observed facility has emergency food and water supply. Facility has 1 fire extinguisher which is mounted and fully charged. Facility has audible alarms for each sliding door entrance/exit. Facility has some supply of PPE. LPA reminded Administrator importance of 30 days supply. Facility has a secured location for Resident medication and files. Facility has 30 days’ supply of medications for Residents. LPA reviewed 4 of 4 Resident files during visit. Resident emergency contact information and physician’s reports are current. Facility has designated visitation areas. No deficiencies noted during this visit. An exit interview was conducted with Administrator and a copy of report was left at facility.