Routine inspection·January 30, 2024

On 01/30/24 Licensing Program Analyst (LPA) Cheyenne Ratajczak arrived unannounced at the facility to conduct a required 1-year annual inspection. LPA met with Executive Director (ED),Ricky David JR, and explained the purpose of the visit. LPA and ED conducted a tour of the interior and exterior of the facility. Areas toured included but not limited to: ten (10) resident rooms, three (3) laundry rooms, kitchen, dining room, library, theater, mail area, medication room and common areas. LPA observed residents in common areas participating in activities and in the dining room having lunch. The residence was found to be clean, safe, sanitary and in good condition. LPA observed the facility to have the mandated posters posted. Fire extinguishers are maintained and ready for emergency use. Facility has required food supplies. There are appropriate staff present to meet the needs of residents. LPA conducted a file review of eight (8) resident files and eight (8) staff files. Resident files had all the required documents present in files. Staff files are missing First Aid training. ED stated they are having First Aid training on 02/28/2024. LPA completed the full care tool and deficiencies was observed. Please see LIC 809-D. Exit interview conducted and a copy of the report and appeal rights was provided.