Routine inspection·August 16, 2023

Licensing Program Analyst (LPA) Bethany Mirlohi arrived unannounced to conduct an annual inspection. LPA met with administrator Adela Toderean during today's inspection. LPA ensured they applied hand sanitizer before entering the facility. LPA toured facility with administrator to ensure health and safety of residents in care. LPA toured 5 resident rooms, 1 staff room, 2 bathrooms, kitchen, common living spaces, backyard and the garage area. LPA toured the backyard area and observed emergency exit was locked. There is a locked storage for medications and toxins. Food supply is adequate for 2-day perishable and 7-day nonperishable. LPA observed an adequate amount of linens and found the first aid kit to be complete. LPA reviewed 2 of 6 resident files and 2 staff files. LPA reviewed medications of one resident comparing with Centrally Stored Medication Record and physician orders. A review of staff records indicates that all facility staff has received criminal record clearances and/or are associated to this facility.LPA observed a copy of current liability insurance. There are deficiencies being cited as a result of todays inspection. Deficiencies cited on 809-D. Exit interview conducted and appeal rights provided.