Routine inspection·January 17, 2024

Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to conduct a required annual. LPA met with Tammy Parrel, caregiver, and stated reason for the inspection. LPA spoke to the Administrator, Steven Ronstadt, who stated he or Kelly Conley, House Manager, would be at the facility shortly. Kelly arrived at approximately 10:45 am. LPA observed (1) resident to be in the common area watching television and (5) residents to be in their resident rooms. The facility is licensed for (6) non-ambulatory residents. There is a hospice waiver approved for (3) residents. Currently there are (0) residents on hospice. LPA and House Manager toured the interior and exterior of the facility including the common areas, (6) resident bedrooms, (4) resident full bathrooms and (1) resident/staff bathroom, kitchen, laundry area and garage. All but (1) resident room has an exit door to the outside. LPA observed the facility to be clean, in good repair and odor-free and the bathrooms to have the necessary grab bars, non-skid flooring, paper towels and hand-washing posters. There is sufficient 2+day perishable and 7+day non-perishable supply of food, and locked sharps in the kitchen. Locked medications are in a separate closet nearby. LPA observed locked toxins in the garage and laundry area. The inside temperature measured 72*F, and hot water measured 120*F in the kitchen and resident bathroom. There are games/activities on site. The fire extinguisher was last serviced 5/17/23 and facility conducts quarterly emergency drills. There is sufficient incontinent/PPE products. RCFE Administrator Certificate #6051256740- exp 2/26/2025. All other required postings are posted. There are cameras in the common area and night-lights also.There is (1) unlocked gate from the inside back patio and no bodies of water or a pool. LPA reviewed (2) resident files and medications. Files were organized with current physician reports and care plans. Medication orders matched medication being administered. LPA reviewed (3) staff files. Files were organized and contained required documentation. Staff training is not current within the last (12) months. All staff is fingerprint cleared and associated. Administrator to email a copy of an updated copy of LIC500, LIC308 and the current liability insurance by 1/24/24. There are (2) deficiencies issued during today's inspection on the 809D pages. Exit interview. Copy of report and appeal rights provided provided.