Routine inspection·October 29, 2024

Licensing Program Analyst (LPA) Ryan Fulton conducted an unannounced Required Annual Inspection. The facility file was reviewed prior to the visit. LPA was welcomed by and discussed the purpose of the visit to Administrator Tess Derafera. The facility's license shows a maximum capacity of Six (6) residents. During today’s inspection there were Six (6) Residents in care. LPA and Administrator Tess Derafera 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, screens, toilets, and showers were in working order. 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. There was at least 2 days of perishable food, and at least 7 days non-perishable food present, all of which are safely stored. Cooking/dining equipment and utensils were present. Toxic chemicals/poisons were locked and inaccessible to residents. Medications were labeled, as required, and stored in locked areas. The facility’s ambient internal temperature was compliant. Hot water temperature at taps accessible to residents were all compliant: Kitchen sink was 105 F; bathroom #1 sink was 105 F and bathroom #2 sink was 105 F. Pool was Locked and secure with a 6 foot fence around the entire perimeter. Per administrator, no firearms or ammunition are kept at the facility. Carbon monoxide/Smoke detectors, emergency lighting, and facility telephone were all in working order. Fire extinguisher's .First aid kit(s) were complete and readily accessible. Required licensing postings were observed in visible areas of the facility. An exit interview was conducted with Administrator Tess Derafera to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided during the visit