Routine inspection·January 24, 2025

Licensing Program Analyst (LPA) Abdoulaye Zerbo conducted an unannounced visit for a required annual inspection . The LPA was greeted by Caregiver Allen Calibo, notified him of the purpose for the visit and was allowed to enter the facility to conduct the inspection. Facility Overview: The facility is a single story building with four (4) residents bedrooms, one(1) staff room two(2) bathrooms, a living room, a kitchen area, a garage and a shed There is no gated pool and there are no firearms on the premises. Infection Control: LPA observed that hygiene and cleaning supplies were available for regular facility maintenance. The facility’s infection control plan was reviewed and found to meet department requirements. Physical Plant: The physical plant, including floors, windows, and doors, was clean and well maintained. Fixtures and furniture were in good repair. Laundry equipment was in good working condition. Sharp and dangerous objects were securely locked in the kitchen inaccessible to residents. The smoke detector and carbon monoxide detector were operational. LPA observed fire extinguishers not to be in compliance with the department requirements with an expiration date of August 22, 2024. A citation will be issued.The water temperature was tested within regulations. Continued 809-C...... Care & Supervision/Administration: Adequate staff were present to supervise clients during the visit. The administrator holds a current administrator’s certificate with expiration date of July 01, 2025 Record Review and Resident/Staff Files: LPAs reviewed files for two(2) staff members, confirming criminal clearances, updated training, and CPR/First Aid certification. Five (5) residents' files were reviewed. LPAs observed first aid kit to be locked and inaccessible to the residents in care. The residents and staff files were kept in a locked cabinet in the hallway and inaccessible to unauthorized individuals Health-Related Services/Incidental Medical Services: All residents' medications were securely locked in a cabinet and located in the hallway. LPA reviewed medications for five residents, confirming that all medications were listed and accounted for. Disaster Preparedness: LPAs reviewed the facility’s emergency and disaster plan. LPA did not observe any records of the last drill conducted at the facility. A citation will be issued. All facility exits were clear of obstructions. An exit interview was conducted, during which this report was reviewed, and a copy was provided to caregiver Allen Calibo along with the appeal rights.