Routine inspection·May 24, 2023

On 5/23/2023 at 12 PM, Licensing Program Analyst (LPA) Sarena Keosavang arrived at the facility unannounced to conduct a Required- 1 Year inspection utilizing the inspection tool. LPA met with staff, Pius Nwaukoni, and explained the purpose of the visit. LPA requested for staff to notify administrator, Benedicta Nwaukoni, of LPA's presence at the facility. Administrator was unable to meet at the facility and gave staff permission to assist LPA during today's visit. At 12:35 PM, LPA toured the interior and exterior of the facility to ensure the health and safety of residents in care. Areas toured include but are not limited to: residents' bedrooms, bathrooms, common areas, kitchen, backyard, laundry room, and medication cabinet. Bathrooms are clean, sanitary, and in good repair. Toxic and cleaning supplies are locked and is inaccessible to residents in care. LPA observed fire extinguishers, fire detectors, and carbon monoxide present at the facility. Fire extinguisher was last serviced on 07/26/2023. LPA observed food supplies of non-perishable for a minimum of one week and perishable foods for a minimum of two days. First aid kit was completed. At 1:05 PM, LPA reviewed a total of four (4) residents' files. Four out of four residents' files contain signed Admission Agreements, Identification Sheet, Releases, Preplacement Appraisals, and Resident's Rights. Medications are centrally stored, locked, and appear to be given per doctor order. LPA compared medications to those being given for four (4) residents and found no discrepancies. Facility is correctly using the Medication Administration Records (MAR). LPA reviewed a total of one (1) staff record. Staff has training in medications, first aid and CPR, and other various areas of care provision. No deficencies cited today. Exit interview conducted and appeal rights were provided.