Routine inspection·June 13, 2024

On 6/13/2024, Licensing Program Analyst (LPA) Cassie Yang and Department of Consumer Affairs Associate Governmental Program Analyst (AGPA) Jordan McLaughlin arrived unannounced at the facility to conduct a required annual inspection utilizing the care tool. LPA met with caregiver and explained the purpose of the visit. Administrator arrived to the facility after tour was completed. Today's census is six residents in care with two residents on hospice services. Facility is licensed for six non-ambulatory with hospice waiver of six. During today's visit, LPA, AGPA and Caregiver conducted a tour of the interior and exterior of the facility. LPA informed Caregiver that master key to medication cabinet should be inaccessible to residents in care. LPA and AGPA observed bleach, laundry detergent and Pinesol located by the laundry area. Toxins were immediately stored after observation. Additionally, LPA and AGPA observed toilet cleaner solution located in the bathroom located near the common areas. File review conducted for four personnel and six residents. LPA and Administrator discussed that residents with dementia are to be medically assessed annually and residents with no dementia diagnosis medical assessment shall be updated when required by the Department. LPA observed facility files to be completed with the required documents. LPA observed the presence active facility liability insurance. LPA observed Administrator Certificate #6032256740 to be pending renewal. Deficiencies cited. Please see LIC 809-D. Exit interview and a copy of the report and appeal rights was provided.