Routine inspection·December 6, 2023

On 12/6/2023 at 8:45 AM, 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 Executive Director (ED), Cathy Dustin, and explained the purpose of the visit. LPA observed a total of six (6) residents in care and one (1) staff present at the facility during the annual inspection. At 9:15 AM, LPA and ED 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 105 degrees Fahrenheit. First aid kit was completed. LPA observed fire detectors and carbon monoxide alarms to be operable. LPA observed two (2) fire extinguishers located in the kitchen and garage. Fire extinguishers were last serviced on 9/1/2023. Fire drill was last conducted on 10/23/2023. LPA observed medications to be locked and inaccessible to residents in care. LPA observed required Licensing posters posted throughout the facility. At 9:35 AM, LPA reviewed a total of three (3) 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 to those being given for three (3) residents and found no discrepancies. LPA reviewed a total of one (1) staff record. Staff has training in first aid and CPR, medication management, restricted health conditions, posture support, hospice care, and other various areas of care provision. LPA request for ED to submit the following to Community Care Licensing for review. Liability Insurance No deficiencies being cited during today's inspection. Exit interview conducted and report provided