Routine inspection·December 19, 2024

Licensing Program Analyst (LPA) Cassie Yang arrived unannounced on 12/17/2024 to conduct a required annual inspection utilizing the inspection tool. LPA met with Administrator and explained the purpose of the visit. During today's inspection, LPA and Caregiver conducted an inspection of the facility. Areas toured included but not limited to: four resident bedrooms, two bathrooms, laundry room, kitchen and the common areas. LPA observed facility to have two days of perishable and seven days of non perishable food. LPA observed knives, toxins and medications to be locked and secured. LPA observed laundry room to be locked and inaccessible to residents in care. Fire extinguisher observed to be updated with State Fire Marshal seal tag dated October 8, 2024. It was discussed that Administrator is to audit medications as needed to ensure medications are given as prescribed and for Medication Administration Records are documented correctly . LPA observed presence of home health and hospice correspondence between agency and facility for R1, R2 and R3. LPA conducted a file review for personnel and resident records. LPA observed the required documents present and completed for residents in care. At this time, LIC 500 and liability insurance is to be emailed to LPA by Friday December 27, 2024. No deficiencies cited. Exit interview and a copy of the report was provided.