Routine inspection·September 27, 2023

On 9/27/2023, Licensing Program Analysts (LPAs) Cassie Yang and Cheyenne Ratajczak arrived to the facility unannounced to conduct a Required 1- year annual inspection. LPAs contacted Administrator who informed LPAs she was unavailable for training but LPAs can meet with Caregiver, Joseph Russell, for assistance. The facility is licensed for six bedridden residents, hospice waiver of six. LPAs were informed there are three residents on hospice services. During today's inspection, LPAs and Caregiver conducted a tour of the exterior and interior of facility to ensure the health and safety of residents in care. Areas toured included but not limited to: six residents bedrooms, two bathroom, medication room, kitchen, backyard and the common areas. LPAs observed toxins, medication and sharps to be locked and secured. Additionally, LPAs observed the pond in the backyard to be locked and inaccessible to residents in care. LPAs completed the CARE tool and found the facility to be in compliance. At this time, LPAs requested a copy of LIC 500 and liability insurance to be emailed to LPA Yang by Friday October 6, 2023. Exit interview and a copy of the report was provided.