Routine inspection·December 12, 2023

Licensing Program Analyst (LPA) Debbie Correia conducted an unannounced Required Annual Inspection. The facility file was reviewed prior to the visit. LPA was greeted by Licensee McIntyre, identified themselves to, and discussed the purpose of the visit to Licensee McIntyre. According to the facility’s license, the facility has a maximum capacity of four (6) residents, of which one (1) may be bedridden, and has a waiver for (3) residents who receive hospice care. During today's inspection, there were a total of three (3) residents in care, of which 0 were bedridden and 0 were receiving hospice. LPA, accompanied by Licensee McIntyre, 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 obstruction and slip hazards. Resident bedrooms contained the required furnishings. Doors, windows and screens, toilets, and showers were in working order. Extra linens, hygiene supplies, and Personal Protective Equipment (PPE) were present. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and resident activities. The facility’s ambient internal temperature was compliant, at 71 F. The facility's hot water temperature for faucets used by residents measured at 118.4 and 110.4 F. There was no pool or large bodies of water on the premises. According to the licensee, no firearms or ammunition are kept at the facility. Smoke alarms, carbon monoxide detectors, emergency lighting, and facility telephone were working. Fire extinguisher(s) were serviced within the last 12 months. First aid kit(s) and first aid manual were complete and readily accessible. Required licensing postings were observed in visible areas of the facility. LPA interviewed multiple staff, and LPA reviewed staff and resident records/files. The interviews did not raise any licensing concerns. The resident and staff files contained the required documents. Confidential records, medications, and toxins were inaccessible to residents in care.. During today's visit, no deficiencies were observed. An exit interview was conducted with Licensee McIntyre, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) will be provided.