Post-licensing visit·July 31, 2024

On 07/31/24 Licensing Program Analyst (LPA) Cheyenne Ratajczak arrived at the facility unannounced to conduct a post licensing inspection. LPA met with staff, Jamie Mallory, and explained the purpose of the visit. LPA requested for staff to notify administrator, Noel Estillore of LPA's presence at the facility. Administrator told staff to start the inspection and they will be there soon. LPA and staff toured the interior and exterior of the facility to ensure health and safety of residents in care. Areas toured include but are not limited to: common areas, residents' bedrooms, bathroom, kitchen, garage, and backyard. 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 119.2 degrees Fahrenheit at the kitchen sink, which is within the required range of 105 to 120 degrees. The temperature in the facility was 80 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, was last inspected on 09/15/2023. While on the tour LPA observed the cabinet under the kitchen sink to have a lock on one side but not the other. Disinfectants and cleaning solutions were inside the unlocked cabinet and accessible to residents in care. LPA conducted a file review of one(1) personnel and two(2) residents records. All files contained the required documents. LPA compared medications to those being given for one (1) residents and found no discrepancies. LPA completed the full care tool and deficiencies was observed. Please see LIC 809-D. Exit interview conducted and a copy of the report and appeal rights was provided.