Routine inspection·June 6, 2024

Licensing Program Analyst (LPA) Juliana Barfield conducted an unannounced Required Annual Inspection. The facility file was reviewed prior to the visit. LPA was welcomed by, identified herself to, and discussed the purpose of the visit with Carina Bigayan. Licensee Michelle Retzer joined LPA shortly thereafter. According to the facility’s license, the facility has a maximum capacity of six (6) residents, of whom six (6) may be non-ambulatory of which six (6) may be bedridden. During today’s inspection, there were a total of six (6) residents in care. This facility does not feature a secured perimeter or delayed egress doors. LPA, accompanied by Carina Bigayan, toured the interior and exterior of the facility, and inspected each room. Pathways were free of obstruction and slip hazards. Client bedrooms contained the required furnishings. Extra linens and hygiene supplies were present, as well as Personal Protective Equipment. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and client activities. Hot water temperature at taps accessible to clients were all compliant. There was at least 2 days supply of perishable food, and at least 7 days non-perishable food present. Cooking/dining equipment and utensils were present. There were no sharp objects, toxic chemicals/poisons, fireplaces, or open-faced heaters observed available to clients. Medications were labeled, as required, and stored in locked areas. (CONTINUED ON LIC809-C) (CONTINUED FROM LIC809) No pools or bodies of water were observed on the premises. Per the licensee's staff, no firearms or ammunition are kept at the facility. Smoke alarms, carbon monoxide detectors, emergency lighting, and facility telephone were all working. Fire extinguisher(s) were serviced within the last 12 months. First aid kit(s) were complete and readily accessible. Required licensing postings were observed in visible areas of the facility. Confidential records were stored in locked areas. Michelle Retzer also presented proof of current/active business liability insurance. No deficiencies were observed or cited during today's annual inspection.. An exit interview was conducted with Michelle Retzer whom a copy of this report and the Licensee/AppealRights (LIC9058 03/22) were provided during the visit.