Routine inspection·May 7, 2024

Licensing Program Analysts (LPAs) Lavinia Muscan and Talwinder Bains arrived on 5/7/24 to conduct the annual inspection. During today's annual inspection, the Compliance and Regulatory Enforcement Tool was used. LPAs reviewed resident (3) and staff files (3). All staff files contained the required paperwork. All staff have current first aid and CPR training. Facility was clean and well organized. Facility is current on fire drills. All required posting were observed. LPAs and Licensee Monica Brooks toured the facility together to ensure the health and safety of residents in care. The areas toured included resident rooms, bathrooms, kitchen, and common areas and outside area. The food supply is within compliance, 2 days of perishable and 7 days worth of non-perishable food items. Grab bars were present at the toilet and in the shower. All exits were unobstructed. The disaster drill is current. The administrator's certificate is current. LPAs checked the kitchen area for the ability to prepare and store food. Knives and Sharp objects found to be locked . LPAs observed cleaning products and other toxins to be locked away. LPAs observed the area used for medication to be locked and inaccessible to residents. LPAs observed smoke detectors and carbon monoxide detector at the care home are operational. Fire extinguisher is ready for emergency use. LPAs reviewed medications for 3 residents and deficiency was observed per Title 22 Regulations as listed on 809-D. LPAs requested a copy of the LIC 500, LIC610E and current liability insurance to be sent to the Department by 5/31/24. Exit interview conducted. Appeal rights and a copy of this report was printed and given to Licensee.