Routine inspection·February 5, 2025

Licensing Program Analyst (LPA) Abdoulaye Zerbo conducted an unannounced visit for a required annual inspection . The LPA was greeted by Administrator Edward Mikenas, 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 two story building (Approved to only use the lower level) with four (4) residents bedrooms, two(2) bathrooms, a living room, a kitchen area, a garage and two sheds. 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 to be in compliance with the department requirements with an expiration date of January 27th, 2026. 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. LPA observed that the staff did not have the health screening in their folder. A citation will be issued. Four (4) residents' files were reviewed. LPA observed one of four residents' file not to have an updated physician report. A citation will be issued. Health-Related Services/Incidental Medical Services: All residents' medications were securely locked in a cabinet and located in the living room. LPA reviewed medications for four residents, confirming that all medications were listed and accounted for. Disaster Preparedness: LPA reviewed the facility’s emergency and disaster plan, including records of the last drill conducted at the facility on November 2024. LPA observed the exist door by the front entrance to be obstructed by a built in bird cage. A citation will be issued An exit interview was conducted, during which this report was reviewed, and a copy was provided to Administrator Edward Mikenas along with the appeal rights.