Routine inspection·July 23, 2024

On 07/23/24 Licesning Program Analyst (LPA) Cheyenne Ratajczak arrived at the facility unannounced to conduct a Required 1- year annual inspection utilizing the care tool. LPA met with Administrator Ying Lui (Ruby) and explained the purpose of the visit. LPA and administrator conducted a tour of the interior and the exterior of the facility. Areas toured include but not limited to six (6) resident bedrooms, two (2) bathrooms, kitchen, laundry room, office and backyard. LPA observed required furniture, and lighting throughout the residents' bedrooms and facility. LPA observed food supplies of non-perishables for a minimum of seven (7) days and perishable foods for a minimum of two (2) days. Toxins and knives are locked and inaccessible to residents in care. The hot water temperature was measured in the kitchen sink at 107.9 degrees Fahrenheit, which is within the required range to 105 to 120 degrees Fahrenheit. The temperature in the facility was 75 degrees Fahrenheit. First aid kit was completed. LPA observed fire detectors and carbon monoxide alarms to be operable. The fire extinguisher was last serviced on 09/01/2023. LPA observed medications to be locked and inaccessible to residents in care. LPA reviewed five (5) resident file. Resident files contain signed admission agreements, physician's reports, appraisals, identification sheets, and resident's rights. LPA reviewed two (2) staff records. Staff has training in infection control, first aid/CPR, and other various areas of care provision. LPA requested Administrator to send updated copies of the following by 07/26/24 to LPA LIC308- Designation of Administrative Responsibility Liability insurance LIC500- Personnel Report No deficiencies being cited during today's inspection. Exit interview conducted and report provided