Routine inspection·July 15, 2025

At 08:30am, on 07/15/2025, Licensing Program Analyst (LPA) Haner-Tomasko arrived at the facility unannounced to conduct the annual facility inspection. LPA met with Licensee/Administrator Jane Quines, announced who he was and the reason for the visit. Licensee/Administrator and LPA conducted a full tour of the facility. This facility is a residential home with six single occupancy resident bedrooms, two live-in staff bedrooms, two full shared use bathrooms, and one half public bathroom. There is a family room, dining area, kitchen and living room. LPA noted a variety of puzzles, games, books, resident appropriate exercise equipment and a piano for resident use in the living room. Access to the laundry room is next to the kitchen. Laundry detergent and cleaning chemicals are located in the laundry room and an adjacent storage closet all locked for resident safety. LPA noted that the side yard and the front yard both have seating and shade for residents and visitors. LPA noted fresh fruit and snacks in the kitchen for residents to enjoy freely. The facility has wired smoke detectors in each bedroom and hallway leading to bedrooms that are all working, there is a carbon monoxide detector in the family room above the thermostat that is functioning normally. LPA observed a fire extinguisher near the kitchen that was tagged current and in the green compression range, serviced on 11/19/2024. LPA tested facility hot water at 111.9*(f), within regulation temperatures 105*-120* (f). LPA observed at least 2 - days of perishable and at least 7 - days of nonperishable foods. LPA noted that the facility is clean and in good repair with no obstructions in hallways, doorways or exits. The facility has a built-in natural gas generator for power outages. (Continued on LIC809-C) Medications are locked in a cart near the family room. Staff and client files are locked in cabinets in a hallway. LPA conducted a sample medication audit and reviewed the facilities Centrally Stored Medication Records, finding no violations. LPA conducted a staff and resident file review. LPA and Licensee/Administrator conducted a review of the annual care tool modules. There were no deficiencies cited at this time. Exit interview, report signed, and report provided.