Routine inspection·February 4, 2025

On 02/04/2025 Licensing Program Analyst (LPA) Cheyenne Ratajczak arrived at the facility unannounced to conduct a required 1 year annual inspection utilizing the care tool. During today's visit LPA met with House Manager Oliver Fule, and explained the purpose of the visit. LPA and House Manager conducted a tour of the facility. Areas toured include but not limited to, resident bedrooms, bathrooms, kitchen, garage and common areas. LPA observed required furniture, and lighting throughout the residents' bedrooms and facility. LPA observed residents' bathrooms to be clean, sanitary, and in good repair. LPA observed food supplies of non-perishables for a minimum of seven(7) days and perishable foods for a minimum of two (2) days. Toxins and cleaning supplies are locked and inaccessible to residents in care. The hot water temperature was measured in the kitchen at 112 degrees Fahrenheit. LPA observed fire detectors and carbon monoxide alarms to be operable. The fire extinguisher was last serviced on 02/03/2025. LPA observed medications to be locked and inaccessible to residents in care. LPA observed required Licensing posters posted throughout the facility. LPA conducted a file review of three (3) resident files. Two (2) out of the three (3) resident files were incomplete and missing pre admission appraisals. LPA conducted a file review of one (1) staff file. LPA requested Licensee email LPA Ratajczak current LIC500 and LIC308. As a result of today's inspection, deficiencies observed. Please see LIC809-D. Exit interview conducted and a copy of the report and appeal rights was provided.