Routine inspection·July 30, 2024

Licensing Program Analyst (LPA) Sabel Martinez conducted an unannounced Required Annual Inspection. The LPA introduced himself and disclosed the purpose of the visit to Caregiver Maria Latimre. Administrator Melissa Deussen also assisted the LPA over the telephone. The facility was licensed for a capacity six (6), of which two (2) may be bedridden in room # 2. The facility was also approved for a hospice waiver for four (4) residents. The LPA, accompanied by caregiver, toured the interior and exterior of the facility, and inspected each room. The facility was clean, sanitary, and in good repair. Pathways were free of obstructions and slip hazards. Resident bedrooms contained the required furnishings. Doors, windows, screens, toilets, and showers were in working order. Extra linens and hygiene supplies were present. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and resident activities. There was at least 2 days of perishable food, and at least 7 days non-perishable food present, all safely stored. Cooking/dining equipment and utensils were present. There were no toxic chemicals/poisons accessible to clients. Medications were labeled, and stored in a locked area. No pools, nor bodies of water were observed on the premises. Per staff, no firearms, nor ammunition were kept at the facility. Carbon monoxide detectors, and facility telephone were all working. Fire extinguisher(s) were present. Required licensing postings were observed in visible areas of he facility. The LPA interviewed staff and reviewed multiple staff and client records/files. The LPA provided technical advise and cited deficiencies in an LIC 809D. A Plan of Correction was jointly formulated with Administrator Melissa Deussen.. An exit interview was conducted with Deussen, to whom a copy of this report, LIC 809D, and the Licensee/Appeal Rights (LIC9058), were provided.