Follow-up·July 12, 2021

Licensing Program Analyst (LPA) Tricia Danielson arrived to the facility to conduct a case management visit to check on the health, safety, and welfare of residents in care. LPA was greeted and granted entry to the facility by Caregiver Karen Delfin. LPA explained the purpose of the visit. There are five (5) residents currently residing at this facility. There was one (1) staff on duty and one (1) hospice worker present during the time of the visit. During the visit, LPA toured the inside and outside of the facility. LPA assessed the available food supply and observed that the supply exceeds the requirement of a two (2) day supply of perishable foods and a seven (7) day supply of non-perishable foods. The food was observed to be of adequate quality and have proper nutritional value. LPA tested water temperatures which were found to be within regulatory requirements. Smoke and carbon monoxide detectors were also observed to be in working order. LPA toured resident rooms and observed the rooms to have adequate lighting, appropriate linens, and adequate personal storage space. Facility doorways and pathways were observed to be free from obstructions. The inside temperature was measured and was within regulatory requirements. Based on the information obtained during today's visit, there are no immediate threats to the health, safety, and welfare of the residents in care. No deficiencies were cited during today's visit. An exit interview was conducted and a copy of this report was provided to Delfin.