Routine inspection·August 24, 2021

Licensing Program Analyst (LPA) Deborah Mullen conducted an unannounced annual inspection. LPA met with Sandra Chocobar, Licensee. LPA conducted a walk through inspection of the home. The home is a two story, seven bedroom, three bathroom home with a living room, dining room and kitchen. Residents rooms are on the first floor of the home. The home is licensed for four residents and a hospice waiver for two. The home is approved for one bedridden resident in bedroom #1. The bedrooms were observed to have a bed, dresser, night stand and lighting for residents comfort. The bathroom was observed to be clean, safe and sanitary, with grab bars and non-slip mats for residents safety. The kitchen was observed to have the minimum three days perishable and two days non-perishable foods. Chemicals, cleansers and sharp items were locked and inaccessible to residents. The medications are locked and stored in a cabinet in the laundry room. The home was observed to be clean, safe and sanitary and to be in compliance with Title 22 regulations. During the inspection LPA reviewed infection control practices and procedures with the Licensee. LPA observed the facility to be following current infection control guidelines. No deficiencies were observed or cited. An exit interview was conducted and a copy of this report was reviewed with and provided to Mrs. Chocbar.