Routine inspection·February 10, 2025

On 02/10/2025 Licensing Program Analyst (LPA) Cheyenne Ratajczak arrived at the facility unannounced to conduct a required- 1 year annual inspection utilizing the care tool. LPA met with Administrator, Larisa Dron and explained the purpose of visit. LPA and Administrator conducted a tour of the facility. Areas toured included but not limited to the kitchen, dining room, four (4) residents bedrooms, staff room, two (2) bathrooms, garage, common areas and backyard. LPA observed sufficient furniture and lighting throughout the facility. 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 the facility. Hot water temperature was measured at 111 degrees Fahrenheit at the kitchen sink, which is within the required range of 105 to 120 degrees. The temperature in the facility was 75 degrees. Fire extinguishers was last inspected on 01/16/2025. Smoke detectors are working and present throughout the facility. LPA observed carbon monoxide detectors throughout the facility. LPA reviewed four (4) resident files. Resident files contain signed admission agreements, physician's reports, appraisals, identification sheets, releases, and resident's rights. LPA reviewed two (2) staff files. A review of staff records indicates that all facility staff has received criminal record clearances and/or are associated to this facility. Staff records reviewed indicated current training completed. LPA requested a copy of the current liability insurance to be sent to LPA Ratajczak by 02/14/2025. LPA completed the full care tool and no deficiencies was observed. Exit interview conducted a copy of the report was left at the facility.