Routine inspection (multi-day)·October 27, 2023

Licensing Program Analyst (LPA) Rebecca Ruiz conducted an unannounced case management - annual continuation visit. LPA was greeted by, identified herself to, and explained the purpose of the visit to Licensee Philip Butzen. During today's visit, LPA observed residents in care and toured the facility LPA reviewed multiple resident and staff records. Each resident record was complete and contained a signed admission agreement, updated physician’s report and medical assessment, documents regarding safeguarding personal property, and personal rights. Each staff file was complete and contained a personnel record, first aid certificate, fingerprint clearance and association, and a health screening. The facility’s water temperature was measured at 105.3 degrees Fahrenheit in non-private bathroom and 106.5 degrees Fahrenheit in a private resident bathroom. LPA provided the Licensee with technical assistance regarding the facility's emergency disaster plan and the Infection Control plan. The Licensee will submit a copy of their current liability insurance to the Department. No deficiencies were cited on today’s date. An exit interview was conducted with Licensee Philip Butzen, whose signature below confirms receipt of a copy of this report, two LIC9102TA forms, and the Licensee Appeal Rights (LIC9058 01/16).