Routine inspection·July 14, 2025

On July 14, 2025, Licensing Program Analyst (LPA) Brandon Lopez made an unannounced visit to the facility to conduct the required annual inspection. LPA was greeted and granted entry into the facility by care giving staff after explaining the purpose for the visit. Administrator (AD) Lonnie Fischer was notified via telephone but could not arrive to assist with the inspection. LPA observed that Lonnie Fischer does not have a current Administrator certificate and has not submitted a renewal application to the Administrator Certification Bureau. The facility is a Residential Care Facility for the Elderly (RCFE) licensed for six non-ambulatory residents of which one may be bedridden. The facility is a single story home with four resident bedrooms, one staff bedroom, five shared resident bathrooms, a living room, a dining room, a kitchen, a den, a computer room, and an attached two car garage. LPA, accompanied by a caregiver, conducted a tour of the interior portions of the facility. On today's visit, LPA observed three resident in care and two care giving staff present. LPA observed the See Something, Say Something poster, (PUB 475) mounted on the wall by the dining room. LPA inspected all four resident bedrooms and observed them to be free of hazards. LPA observed resident bedrooms to have the required furnishings of a bed, a chair, a chest of drawers, and a lamp. LPA observed resident beds to have clean linens and blankets. LPA observed additional linens to be stored in a hallway closet. LPA inspected the five shared resident bathrooms and observed them to be clean. Bathrooms were equipped with grab bars and non-skid floor mats. Faucets and toilets were operational. Hot water temperature measured between 107.6 and 108.5 degrees Fahrenheit. LPA observed the facility has a two day perishable and a seven day nonperishable food supply on hand in the kitchen. LPA observed kitchen appliances to be clean and operational. CONTINUED ON 809-C LPA observed kitchen knives and sharps to be stored in a locked kitchen cabinet. LPA observed chemicals and toxins to be stored in a locked kitchen cabinet under the sink. LPA observed fire extinguishers to be mounted on the wall in the dining room and in the resident hallway. LPA observed fire extinguishers to be charged and purchased on November 14, 2024. LPA tested the individual smoke detectors/carbon monoxide detectors which tested operational. LPA observed the centrally stored medication to be kept in a locked cabinet located in the kitchen. LPA observed the facility has a First Aid Kit and it had all the required components. LPA observed the door leading to the attached two car garage and storage room to be kept locked and inaccessible to residents in care. LPA observed chemicals and toxins to be stored in a locked cabinet in the garage. LPA observed the facility has a three day emergency food and water supply stored in the garage. LPA observed that a facility staff is currently living in the garage with all of their personal belongings located in the garage. LPA also observed the staff to have a bed, a night stand, and a television located in the garage. LPA, accompanied by a caregiver, conducted a tour of the exterior portion of the facility. The exterior portion was observed to be free of hazards and obstructions. LPA observed a shaded outdoor seating area with furniture for resident use. LPA observed the perimeter gates of the facility to be self latching and can be opened in an evacuation. There are no bodies of water on the premises. LPA reviewed all three resident files. All the required documentation were present and current in the resident file reviewed. LPA reviewed the residents' medication and medication records. LPA reviewed three staff files. All staff are background cleared and associated to the facility. Based on the observations made during today's visit, a deficiency is being cited on the attached LIC809-D. An exit interview was conducted with Administrator Lonnie Fischer via telephone and the report was signed by an authorized facility representative. A copy of the report and Appeal Rights were provided. Administrator Lonnie FIscher was also advised of the facility's outstanding fee balance. Administrator Lonnie Fischer was advised to provide LPA proof of payment by end of business day July 18, 2025.