Routine inspection·August 17, 2021

Licensing Program Analyst (LPA) Javier Prieto conducted an unannounced annual inspection. LPA Prieto met with Jane Mikena .The home is licensed for 6 bedridden residents with six hospice. There are four clients at the facility at the time of visit. The home is a five (5) bedroom, three (3) bath home with a living room, dining room and kitchen. All bedrooms are furnished with bed, night stand, dresser and chair. Bedrooms have adequate lighting for residents’ use. The facility currently has linens, towels and a sufficient amount of hygiene products for residents. The kitchen was observed clean and orderly. The chemicals are locked and kept in a separate area. The backyard was observed to be fully fenced with an unlocked gate and has shaded area with table and chairs for client’s comfort while sitting outside. During the visit LPA discussed infection control procedures and practices with Ms Mikena. The home appeared to be in compliance and no deficiencies were observed or cited. An exit interview was conducted and a copy of this report was reviewed with and provided to Ms Mikena.