Routine inspection·February 20, 2024

Licensing Program Analyst (LPA) Jerome Haley conducted an unannounced visit for the purpose of conducting a required one year annual inspection. LPA Haley was greeted and granted entry by staff and explained the reason for the visit. Licensee/Administrator (AD) Lawrence “Larry” Lindsey was contacted via telephone. Adelya Senior Home is a one-story community with five bedrooms and two bathrooms. The facility capacity is 6 and the census was 5 during today’s visit. Residents were observed in their bedroom and in the living room during the visit. During the inspection, LPA Haley observed all resident bedrooms and bathrooms. All resident bedrooms had all the requirements and were in compliance with regulation guidelines. In the resident bathrooms, hot water temperatures were measured in both bathrooms. In bathroom #1 hot water measured at 143.7 degrees Fahrenheit, and in bathroom #2 hot water measured at 139.2 degrees Fahrenheit. No hazardous items were observed in the resident bathrooms. Smoke detectors were observed in resident rooms, the hallway, and living room. The smoke detector in resident room # 1 was not working. All other smoke detectors were operational. One carbon monoxide detector was observed in the hallway near bathroom #1. A fully charged fire extinguisher was mounted on the wall in the kitchen. In the kitchen LPA Haley observed a perishable and nonperishable food supply in compliance with regulation guidelines. Knives and sharp objects are kept locked in a cabinet above the sink. Resident medication, resident files and staff files were locked in a cabinet near the stove. Some hazardous cleaning materials were kept locked in the cabinet above the washer and dryer. The stove was clean and all burners on the stover were non operational. The burners on the stove needed to be lit with a lighter to ignite the flame on the stove. Continued on LIC809C In the hallway, right across from the main bathroom, LPA Haley observed a locked desk with resident medications. In the locked desk/cabinet next to the locked medication desk, there is a locked cabinet with staff and resident files. There was a fully charged fire extinguisher hanging on the wall next to the locked staff and resident files. Down the hallway near the second resident bathroom, a supply of clean linen was observed. Across from bathroom #2, a carbon monoxide detector was observed and right below a fully charged fire extinguisher was mounted on the wall. The garage was used to store a few facility items that are still in good repair. A supply of nonperishable food items was observed in the garage. The cabinet being used to store the nonperishable food items was missing a cabinet door and a red curtain/sheet was being used to cover the missing cabinet door. Photos were taken. The back yard had a shaded patio area with a table and chairs. There was a shed in the back yard that’s used for storage of additional facility items. The back yard was free of tripping hazards clutter and debris. Emergency evacuation drills are conducted quarterly and the first evacuation drill for 2024 has not been scheduled yet. Licensee/Administrator Elizabeth Mullins was consulted on the importance of keeping the facility organized. Administrator Mullins has a lot of supplies and was instructed to keep everything organized and to go through everything and dispose of things not needed to prevent clutter. Deficiencies are being cited as a result of today’s visit. An exit interview conducted and a copy of this report, and appeal rights were provided to Imelda Martinez.