Routine inspection·August 5, 2024

On 08/05/24, Licensing Program Analyst (LPA) Talwinder Bains arrived at the facility unannounced to conduct a required 1 year inspection utilizing the care tool. LPA met with Administrator Alena Tripadush and explained the purpose of the visit. LPA and Administrator conducted a tour of the interior and exterior of the facility. Areas toured include but not limited to residents bedrooms, bathrooms, kitchen, dining room, common areas, storage area, and laundry room. 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. Hot water temperature was measured at 108 degrees Fahrenheit in kitchen area, which is within the required range of 105 to 120 degrees. The temperature in the facility was 76 degrees. First aid kit was completed. LPA observed fire detectors and carbon monoxide detectors to be operable. LPA observed the fire extinguisher, located in common area , which was last inspected on 12/23/2023 and was ready for emergency use. LPA reviewed fire and disaster drill logs, which are conducted monthly. LPA observed required Licensing posters posted throughout the facility. LPA conducted a file review of two (2) personnel and two (2) residents records. Both personnel and resident records are found to be complete. Medications are centrally stored, locked, and appear to be given per doctor order. LPA compared medications to those being given for two (2) residents and found no discrepancies. No deficiencies are being cited during today's inspection per Title 22 regulations. Exit interview conducted and copy of the report was left at the facility.