Routine inspection·February 11, 2025

Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to conduct a required annual. LPA met with Aneitta Simpson, caregiver, who contacted Kelly Conley, House Manager, who arrived at 3:15 pm. Also present was care staff, Mischka Smith. LPA observed (1) resident to be resting 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 is (1) resident on hospice. LPA and House Manager toured the interior/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. Inside temperature measured 76*F, and hot water measured 120*F in the kitchen. The fire extinguisher was last serviced 6/18/24 and facility conducts quarterly emergency drills. There is sufficient incontinent/linens/towels/blankets and PPE products. RCFE Administrator Certificate #6051256740- exp 2/26/2025- all required have been completed- renewal paperwork to be submitted this week. There is (1) unlocked gate f and no bodies of water/pool. LPA reviewed (2) resident files and medications for (1) resident. Files are organized and contain the required documents. Medications are being administered per orders. (3) staff files were reviewed- all staff have completed the initial/ongoing required training and have current First Aid/CPR certifications. All staff is fingerprint cleared/associated. There is (1) awake staff during the night. Administrator to email a copy of an updated copy of LIC500, LIC308 and current liability insurance. There are no deficiencies issued in this report. Exit interview. Copy of report