Routine inspection·December 30, 2022

On 12/30/2022, Licensing Program Analyst (LPA) Cassie Yang arrived unannounced at the facility to conduct a Required 1-year inspection. LPA met with Licensee, and explained the purpose of the visit. LPA ensured to apply hand sanitizer before entering the facility, and the following Personal Protective Equipment (PPE) was worn: surgical mask. The facility currently has six (6) residents with one (1) resident on hospice services. LPA observed the license to not be update for hospice waiver but observed Licensee to have an approved hospice waiver letter. LPA informed Licensee the license will be updated and sent to the facility. LPA and Licensee discussed the possibility of increasing hospice waiver, LPA informed Licensee she will provide Licensee the criteria required in the hospice increase waiver request. LPA and Licensee toured the interior of the facility to ensure the health and safety of residents in care. In areas toured, no immediate health and safety violations were observed. LPA observed sharps, toxics, and medication to be locked and secured. LPA observed the fire extinguisher to be last serviced on 8/11/2022. LPA observed the Administrator Certificate #6011253740 to be expired but was informed by Licensee the renewal was submitted in December 2021. LPA observed Licensee to be have certificates of CEU hours of 81. LPA informed Licensee she will follow up with Administrator Cert unit and provided Licensee the email to Admin Cert unit. Licensee discussed concerns with LPA that all his documents states "Gavril" when the corrective spelling is "Gabriel". LPA informed Licensee she will correct the spelling in the system. LPA obtained a copy of the liability insurance via email by Licensee. As a result of today's inspection, no deficiencies were observed. Exit interview conducted and a copy of the report was left at the facility.