Routine inspection·October 31, 2024

On 10/31/24 Licensing Program Analysts (LPAs) Cheyenne Ratajczak and Graham Gunby arrived at the facility unannounced to conduct a required 1 year annual inspection. LPAs met with Administrator Rasha Salman and explained the purpose of the visit. LPAs and Administrator conducted a tour of the interior and exterior of the facility. Areas toured include but not limited resident bedrooms, bathrooms, kitchen, common areas, and storage area. LPAs observed required furniture, and lighting throughout the residents' bedrooms and facility. LPAs 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 106 degrees Fahrenheit at the kitchen sink, which is within the required range of 105 to 120 degrees. LPAs observed fire detectors and carbon monoxide detectors to be operable. LPAs observed the fire extinguisher, located in hallway, which was last inspected on 09/16/2024. LPAs reviewed drill logs, which are conducted quarterly. LPAs observed required Licensing posters posted throughout the facility. First aid kit completed. LPAs reviewed three (3) resident files and one (1) staff file all files contained the required documents. Medications are centrally stored, locked, and appear to be given per doctor order. LPAs compared medications to those being given for two (2) residents. Facility is correctly using the Medication Administration Records (MAR). No deficiencies are being cited during today's inspection. Exit interview conducted and copy of the report was left at the facility.