Routine inspection·May 14, 2025

Licensing Program Analyst (LPA) Renita Hall conducted an unannounced Required 1-year Annual Visit. LPA was allowed entry by Jennifer Evans, Caregiver. LPA identified herself and disclosed the purpose of the visit with the Administrator. The visit was later joined by Dawn Sasso-Toth, Licensee. Physical Environment:  The facility was found to be clean, maintained, and free from any safety hazards. Adequate lighting and ventilation were observed in all areas of the facility. All necessary safety equipment, such as fire extinguishers and emergency exits, was present and in good working condition. The facility's outdoor spaces were properly maintained and accessible to residents. Staffing and Training:  The facility had a sufficient number of qualified staff members to meet the needs of the residents.  The staff member was observed to be professional, courteous, and knowledgeable in their respective roles.  All staff members had completed the required training and certifications per the licensing regulations.  Staffing schedules were posted and adhered to, ensuring adequate coverage. Continued on 809C Resident Care and Services:  Residents' care plans were reviewed and found to be comprehensive and up-to-date.  Medication administration was observed to be following the facility's policies and procedures. Residents' nutritional needs were met, and the meals provided were nutritious and well-balanced. Recreational activities and social engagement opportunities were available to residents regularly. Health and Safety: Qualified healthcare professionals conducted regular health assessments and monitored residents' well-being. Staff members followed infection control measures. The facility had established protocols for emergencies, and evacuation plans were readily available. Overall, the facility was found to comply with the licensing regulations.  An exit interview was conducted, and a copy of this report, along with the Licensee Rights (LIC 9058), was provided to Dawn Sasso-Toth, Licensee. Her signature on this form confirms receipt of the documents.