Routine inspection·February 28, 2024

On 02/28/24 Licensing Program Analyst (LPA) Cheyenne Ratajczak arrived at the facility unannounced to conduct a Required-1 Year Inspection utilizing the inspection tool. LPA met with staff, Marcia Waite, and explained the purpose of the visit. LPA requested for staff to notify Administrator of LPA's presence at the facility. Administrator, Andrei Costea arrived at the facility shortly after. LPA and staff conducted a tour of the facility. Areas toured included but not limited to the kitchen, dining room, five (5) residents bedrooms, bathrooms, common areas and backyard. LPA observed the facility to have sufficient food supplies for seven (7) day non-perishable and two (2) day perishable. LPA observed toxins, knives and centrally stored medications to be locked and inaccessible to residents in care. All required Licensing posters are present in common areas in the facility. Hot water temperature was measured at 112.8 degrees Fahrenheit at the kitchen sink, which is within the required range of 105 to 120 degrees. The temperature in the facility was 72 degrees. Fire extinguishers was last inspected on 02/08/24. LPA conducted a file review of three (3) resident files. LPA observed one (1) resident file to be missing the medical assessment. LPA reviewed two (2) personnel records. LPA observed one (1) personnel file to be incomplete with no annual training. LPA requested a copy of the current liability insurance to be sent to LPA Ratajczak by 03/13/24. 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.