Routine inspection·August 16, 2023

Licensing Program Analyst (LPA) Cassie Yang arrived at the facility unannounced on 8/16/2023 to conduct a Required Year Inspection utilizing the CARE inspection tool. LPA met with Administrator, Darrell Price and Director, Kim Jackson, and explained the purpose of the visit . Facility is licensed for 32 ambulatory and 1 non-ambulatory. LPA was informed facility currently has 1 non-ambulatory resident, which is compliance to licensure. LPA toured the interior of the facility together with Director to ensure health and safety of residents in care. Areas toured include but are not limited to: common areas, resident bedrooms, bathroom, kitchen, laundry room, dining room and med room. In the areas toured no immediate health, safety, or personal rights violations were observed. During today's inspection, LPA reviewed (5) resident files and (5) staff files. LPA observed staff files to be complete with the required medication training. LPA observed resident files were found to be complete with updated medical assessments. LPA observed Administrator Certificate to be expired. LPA and Administrator discussed the backlog of Administrator Certificate renewal. LPA observed Administrator's name present in the pending list on CCLD website. Additional, LPA and Director discussed the concern of an AWOL resident, LPA was informed LIC624-Incident Report will be submitted to CCLD. At this time, LPA requested a copy of LIC 500-Personnel Report, LIC 308-Designation of Responsibility and liability insurance to be emailed to LPA by Wednesday August 23, 2023. No deficiencies observed. Exit interview conducted with Director. Copy of this report provided.