Routine inspection·August 22, 2024

On 8/22/2024, Licensing Program Analyst (LPA) Cassie Yang arrived unannounced at the facility to conduct a required annual inspection. LPA met with caregiver and explained the purpose of the visit. Assistant Administrator arrived to the facility after tour was completed. Today's census is six residents with one on hospice services, facility is licensed for six non-ambulatory hospice waiver of two. LPA and Caregiver conducted a tour of the interior of the facility to ensure the health and safety of residents in care. Areas toured included but not limited to: four resident bedrooms, two bathrooms, laundry room, dining room kitchen and the common areas. LPA observed presence of fire extinguisher to be present with service date of April 29, 2024. LPA observed the facility to have the required poster posted in the hallway. LPA observed facility to have 2 days of perishables and 7+ days of non perishable foods present for residents in care. LPA observed sharps, toxins, and medications to be locked and inaccessible to residents. LPA observed five residents in the dining room and one resident watching television in the common areas. LPA conducted a full file review of facility's Medication Administration Record and facility's Centrally Stored Medication Record. Medication count was conducted with Assistant Administrator. File review conducted for six residents records. LPA completed the CARE inspection tool and no deficiencies cited. Exit interview conducted and a copy of the report was provided.