Routine inspection·April 3, 2024

On 04/03/24 at 9 AM Licensing Program Analyst (LPA) Cheyenne Ratajczak 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. LPA and Staff conducted a tour of the interior and exterior of the facility. Areas toured include but not limited to five (5) resident bedrooms, three (3) bathrooms, kitchen, common areas, and storage area. LPA observed required furniture, and lighting throughout the residents' bedrooms and facility. LPA observed food supplies of non-perishables for a minimum of seven (7) days and perishable foods for a minimum of two (2) days. Toxins and cleaning supplies are locked and inaccessible to residents in care. Hot water temperature was measured at 108.2 degrees Fahrenheit at the bathroom sink, which is within the required range of 105 to 120 degrees. The temperature in the facility was 70 degrees. First aid kit was completed. LPA observed fire detectors and carbon monoxide detectors to be operable. LPA observed the fire extinguisher, located in the kitchen and hallways, was last inspected on 09/25/2023. LPA conducted a file review of one (1) personnel and three (3) residents records. Personnel file was incomplete, the missing document was at the facility but inaccessible to staff and LPA. LPA completed the full care tool and deficiencies was observed. Please see LIC 809-D. Exit interview conducted and copy of the report and appeal rights was left at the facility.