Routine inspection·July 26, 2024

Licensing Program Analyst (LPA) Sara Martinez conducted an unannounced annual required visit. LPA was granted entry and met with Administrator Dragana Lekovic, who was informed of the purpose of the visit. At the time of the visit there was two (2) staff and four (4) residents present. LPA conducted a tour of the interior and exterior, reviewed facility documents and conducted interviews. LPA observed the following: Physical plant, floors, windows, and doors were observed to be clean. Fixtures and furniture were in good repair were present. LPA observed outdoor furniture and shaded area for residents. Laundry detergents and cleaning solutions were locked in the garage. Sharp and dangerous objects were locked in a kitchen cabinet. The smoke detector and carbon monoxide was operational, and the hot water temperature met department requirements and was recorded at 108 degrees F. Facility kitchen had the ability to prepare food in clean environment and possessed equipment in good working condition. LPA observed the facility met the required 2-day supply of perishable and 7-day supply of non-perishable foods. LPA reviewed two (2) staff files and training. All staff have the required personnel records on file and criminal record clearance and updated training along with CPR/First Aid. Three (3) resident files were reviewed and possessed all required paperwork which included Admissions Agreement, Needs and Service Plan, and Physician's Report. The listed administrator possesses a current administrator's certificate. Resident medication was centrally stored and locked in a cabinet located near the staff room. LPA reviewed medications prescribed to the residents and found all medication with required labeling found to be in place. LPA reviewed the facility's emergency and disaster plan and infection control plan. Facility documents disaster drill training conducted quarterly with staff and participating residents. All facility exits were clear from obstructions. LPA observed emergency supplies located in the garage and first aid kit with all required items. One (1) fire extinguisher was fully charged and inspected. No deficiencies were cited at the time of the visit. An exit interview was conducted where a copy of this report was provided to Administrator Lekovic.