Post-licensing visit·July 23, 2024

On 7/23/24, Licensing Program Analyst (LPA) Kesha Lewis arrived at this facility unannounced to conduct a post-licensing inspection. LPA met with Administrator and explained the purpose of the visit. Administrator assisted LPA with today’s inspection. Administrator’s certificate is current and will expire on 10/24. This facility is three licensed for 2 ambulatory and 2 non-ambulatory client and hospice waiver for 3. Current census is 3. There were one direct care staff on duty during today’s visit. LPA toured and inspected the physical plant inside and outside to ensure there were no health and safety concerns. LPA observed the kitchen, bedrooms, bathrooms, medication, laundry area and common areas. LPA observed the facility is in good repair. LPA observed sufficient furniture and lighting throughout the facility. The hot water temperature was measured at 107*F which was within the required range of 105-120*F. The temperature inside the facility was observed to be at 75*F which was within the required range of 68-85*F. LPA observed the centrally stored medication areas to be locked and made inaccessible to the clients at this time. LPA observed the fire extinguisher(s) and first aid kits were up to date. LPA observed smoke and carbon monoxide detector(s) in the facility were in good repair. LPA reviewed staff and resident files. An exit interview was conducted and a copy of this report was given.