Routine inspection·January 17, 2024

On 1/17/2024 at 12:23 PM, Licensing Program Analyst (LPA) Sarena Keosavang arrived at the facility unannounced to conduct a Required-1 Year Inspection utilizing the inspection tool. LPA met with staff and explained the purpose of the visit. LPA requested for staff to call and notify administrator of LPA's presence at the facility. Administrator arrived at a later time. At 12:30 PM, LPA and staff toured the interior and exterior of the facility to ensure health and safety of residents in care. Areas toured include but are not limited to: common areas, residents' bedrooms, bathrooms, kitchen, garage, and backyard. 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 one (1) week and perishable foods for a minimum of two (2) days. Toxic and cleaning supplies locked and is inaccessible to residents in care. The hot water temperature was measured in the kitchen at 115 degrees Fahrenheit. First aid kit was completed. LPA observed fire detectors and carbon monoxide alarms to be operable. The fire extinguisher was last serviced on 09/06/2023. LPA observed medications to be locked and inaccessible to residents in care. Fire drills were conducted on 1/3/2024. At 12:50 PM, LPA reviewed a total of two (2) resident files. Resident files contain signed admission agreements, physician's reports, appraisals, identification sheets, releases, and resident's rights. Medications are centrally stored, locked, and appear to be given per doctor order. LPA compared medications and found no discrepancies. LPA reviewed a total of four (4) staff records. Staff has training in medications, first aid and CPR, hospice, and other various areas of care provision. No deficiencies being cited during today's inspection. Exit interview conducted and report provided.