Routine inspection·June 13, 2024

On 6/13/2024, Licensing Program Analyst (LPA) Cassie Yang and Department of Consumer Affairs Associate Governmental Program Analyst (AGPA) Jordan McLaughlin arrived unannounced at the facility to conduct a required annual inspection utilizing the care tool. LPA met with caregivers, and explained the purpose of the visit. Caregiver then contacted Administrator who arrived to the facility shortly afterwards. During today's visit, LPA, AGPA and Administrator conducted a tour of the interior and exterior of the facility. LPA informed Administrator that gardening tool are to be stored immediately after usage. LPA informed Administrator that staff room is to be closed and locked at all times as chemical are stored in staff area, during time of visit, staff was observed present in the room. LPA observed medications to be locked, LPA reminded Administrator that key to locked cabinet is to be inaccessible to residents in care. LPA observed sharps and toxins to be locked under the sink. LPA observed the presence of 2+ days of perishable and 7+ days of non-perishable food. LPA observed fire extinguisher presence. File review conducted for three personnel and six residents. LPA informed Administrator that residents with dementia are to be medically assessed annually. LPA and Administrator discussed annual staff training of 20 hours. No deficiencies cited during this visit. Exit interview and a copy of the report was provided.