Routine inspection·December 19, 2024

On 12/19/2024, Licensing Program Analyst (LPA) Cassie Yang arrived unannounced at the facility to conduct a required annual inspection, utilizing the CARE tool. LPA met with Administrator and explained the purpose of the visit. Today's census is six residents in care with one resident on hospice services. Facility is currently licensed for six non-ambulatory, hospice waiver of three. During today's visit, LPA and Administrator conducted a tour of the facility to ensure the health and safety of residents in care. Areas toured included but not limited to: six residents bedrooms, kitchen, caregiver room, bathrooms, and the common areas. LPA observed facility to be at a comfortable at 76*. LPA observed facility to have adequate food supply of two days of perishable and seven days of non perishable foods. LPA observed residents room to be free of sharps, toxins and medications. LPA observed the facility to be sanitary with no malodor. LPA conducted a file review of five residents records and three personnel records. LPA observed facility to have documentation of staff training. LPA observed Emergency Disaster Plan present, but not updated. LPA provided Administrator a copy of 9-page LIC 610E. Liability insurance reviewed, and a photo was taken of the policy. LPA is requesting proof of State Marshal seal tag to be emailed to LPA by Monday December 23, 2024. As a result of today's visit, no deficiencies cited. Exit interview conducted and a copy of the report was provided.