Routine inspection·October 31, 2023

Licensing Program Analyst (LPA) Cassie Yang arrived unannounced at the facility to conduct a Required-1 Year Inspection utilizing the care tool. LPA met with co-Administrator Mariana Oltean, and explained the purpose of the visit. LPA observed six resident present at the facility, with one resident on hospice services. Facility has approved hospice waiver of four. During today's inspection, LPA toured the facility to ensure the health and safety of the residents in care. Areas toured include but are not limited to: five resident bedrooms, kitchen, two bathrooms, dining room, garage and common areas. LPA observed sharps and medications to be locked and secured. LPA observed facility to have adequate food supply, 2+ days of perishables and 7+ days of non-perishable foods. In the areas toured no immediate health, safety, or personal rights violations were observed. Additionally, LPA observed the posted Administrator Certificate to be expired 05/15/22 but LPA confirmed Administrator Certificate #6040232740 has been renewed. LPA informed co-Administrator LPA will contact Admin Cert unit for a copy of the certificates. LPA conducted a file review of three residents and three personnel records,and observed the files to be complete. LPA completed the care tool and found facility to be in compliance. No deficiencies cited. At this time, LPA requested a copy LIC 500 and liability insurance to be emailed to LPA by Friday November 3, 2022. Exit interview conducted and copy of report was provided.