Routine inspection·April 4, 2024

On 4/4/2024 Licensing Program Analyst (LPA) Albert Johnson conducted an unannounced annual visit on this date. LPA met with Administrator and explained the purpose of the visit. The facility is a single story structure with wheelchair accessibility. LPA observed all required signage, including COVID related, to be prominently posted. LPA toured the facility indoors and outdoors including but not limited to dining room, living room, kitchen, garage, 2 bathrooms, 4 bedrooms and backyard. The facility is licensed for 6 clients. Hot water temperature was measured at 130 degrees Fahrenheit in resident's bathroom sink, which is not within the required range of 105 to 120 degrees. Fire extinguishers are current and in compliance with fire safety. Fire drill was conducted on 3/1/2024. Carbon dioxide monitor present. LPA reviewed 6 resident and 2 staff files, including criminal record clearances. During the resident file review LPA observed that R1 has a prohibited health condition and will need to relocate. R1 moved into the facility on 3/29/2024. All staff today are associated to the facility. First aid kit was checked and is complete. Deficiencies were cited as a result of today's visit. An exit interview was conducted and a report was left with the facility with appeal rights.