Routine inspection·November 25, 2024

Licensing Program Analysts (LPAs) Sarina Ramirez and Becky Mann made an unannounced visit to the facility to conduct a required annual inspection. LPAs met with House Manager Mistie Felton, and discussed the purpose of the visit. The facility is a Residential Care Facility for the Elderly (RCFE). License capacity of (6) with a current census of (6). LPAs conducted an overall inspection of the facility, which included, but was not limited to, the following: Physical Plant: Indoor passageways are free of obstruction. The facility has sufficient lighting and is maintained at a comfortable temperature. Resident’s bathrooms are equipped with grab rails and operating in safe and sanitary conditions. The hot water temperature in residents' bathrooms measured between 106 to 111 degrees F. Resident’s bedrooms have sufficient lighting and bedroom furniture is in good repair. Facility has operating carbon monoxide alarms, laundry service, and telephone service. The facility has sufficient linens, towels, and personal hygiene items for residents. The facility has posted in a common area, Community Care Licensing complaint poster, Ombudsman poster,personal rights, facility license, personnel report, resident roster, disaster evacuation plan and emergency telephone numbers. Yards/Outside: Outdoor passageways are free of obstruction. The facility has no bodies of water accessible to residents in care. The facility is enclosed with self-latching gates. Outdoor shaded area is sufficient for resident activities. Food Service: Facility has sufficient non-perishable and perishable food supply for residents in care. The refrigerator and freezer are operating in a healthful manner. Sharps, Disinfectants, and other cleaning solutions were kept locked and stored away inaccessible to residents in care.. Care & Supervision : Facility has 24-hour/7 days a week care staff. Staff working have criminal record clearances or exemptions through the Department. Record Review: LPAs reviewed 6 resident files and 5 staff files. Licensee did not maintain a transfer of criminal record for S1, staff is not associated with the facility, deficiency will be issued. LPA observed facility's last emergency drill was conducted on 10/07/24 Medical Related Services : All medication is centrally stored, administered as prescribed and kept in a locked closet, inaccessible to residents in care. Deficiencies were cited during today's visit and a plan of correction was discussed with facility representative, Mistie Felton. An exit interview was conducted and copies of the licensing reports with appeal rights were provided to the House Manager Mistie Felton at the conclusion of the visit.