Routine inspection·May 17, 2024

Licensing Program Analyst (LPA), Stephanie Martinez, conducted a required annual inspection to the facility. The LPA was allowed entrance into the facility and met with Licensee, Cinica Clark-Taylor and Caregiver Manager, Ionut Stan. The LPA informed the Licensee and Caregiver Manager of the purpose for the visit. The facility currently has an approved Hospice Waiver for four (4) residents. The inspection included the following: Physical Plant: The facility consists of four (4) resident bedrooms, one staff room, a dinning area, a living space, an open kitchen, a garage space with laundry, and a patio with sufficient seating and space for activities. There are no bodies of water located on the property. According to the Licensee, no weapons are stored in the home. The facility is being maintained at a comfortable temperature. All outdoor and indoor passageways are kept free of obstruction and are free of debris and other trash. There are grab bars for each toilet, bathtub and shower used by residents. Resident showers have non-skid mats or strips present. The carbon monoxide/smoke detector was tested by the Administrator and was observed to be in operating condition. The home was kept clean and free of any odors. Food Service: There is a minimum of two (2) days supply of perishable foods and one (1) week's supply of non-perishable foods available. Record Review: All staff were observed to have appropriate fingerprint clearances. LPA did not observe any excluded individuals on the premises at time of visit. Staff responsible for direct care and supervision have current first aid and CPR training. Required training such was Dementia Care training, medication training, postural support training, restricted health care training, and hospice care training were not observed to be completed. Citations will be issued. The facility was not operating beyond the conditions specified on the license. The LPA was informed by the Administrator there are currently no residents in care who are receiving hospice services. There is an Emergency and Disaster Plan observed on file. Proof of emergency drills was observed on file. All services requiring specialized skill are being performed by personnel qualified as appropriately skilled professionals. Full length bed rails were observed to be utilized for Resident Three (R3). The resident is not receiving hospice services. No documentation of a request by the facility to utilize the rails could be provided. A citation will be issued. Medication Review: The LPA reviewed medications for two residents. Medications were observed to be separate and inaccessible to unauthorized individuals. An exit interview was conducted with the Licensee and Caregiver Manager; this report was reviewed and a copy was provided, along with the LIC 811 and instructions on appeal rights.