Routine inspection·February 15, 2024

On 02/15/24 Licensing Program Analyst (LPA) Cheyenne Ratajczak arrived at the facility unannounced to conduct a Required-1 Year Inspection utilizing the inspection tool. LPA met with staff, Ben Szabo, and explained the purpose of the visit. LPA requested for staff to notify administrator of LPA's presence at the facility. Administrator, Elizabeth Suiugan arrived at the facility shortly after. LPA and staff conducted a tour of the facility. Areas toured included but not limited to the kitchen, dining room, five (5) residents bedrooms, bathrooms, common areas and backyard. LPA observed sufficient furniture and lighting throughout the facility. During the tour LPA observed three (3) residents in their bedrooms and three (3) residents in common areas. LPA observed the facility to have sufficient food supplies for seven (7) day non-perishable and two (2) day perishable. LPA observed toxins, knives and centrally stored medications to be locked and inaccessible to residents in care. All required Licensing posters are present in common area in the facility. Hot water temperature was measured at 109 degrees Fahrenheit at the kitchen sink, which is within the required range of 105 to 120 degrees. The temperature in the facility was 71 degrees. Fire extinguishers was last inspected on 11/10/23. Smoke and carbon monoxide detectors are working and present throughout the facility. First Aid kit is maintained and ready for emergency use. LPA conducted a file review of four (4) resident files. LPA compared medications to those being given for two (2) residents and found no discrepancies. Facility is correctly using the Medication Administration Records (MAR). Additionally, LPA reviewed two (2) personnel records which had all required documents. LPA requested a copy of the current liability insurance to be sent to LPA Ratajczak by 02/29/24. LPA completed the full care tool and no deficiencies was observed. Exit interview conducted and a copy of the report was left at the facility.