Routine inspection·May 8, 2025

At 08:30am, on 05/08/2025, Licensing Program Analyst (LPA) Haner-Tomasko arrived at the facility unannounced to conduct the annual facility inspection. LPA met with Backup Administrator - Shawna Harney, announced who he was and the reason for the visit. At 09:00am Backup Administrator and LPA conducted a full tour of the facility. This facility has four resident bedrooms (two are dual occupancy), three full bathrooms (one is on-suite and two are public/shared use). There is a kitchen, dining room, and living room. Access to the laundry room and garage are through a locked door for resident safety. LPA noted that the backyard has seating and shade for residents and visitors. LPA observed residents enjoying lunch outside together at a shaded table. In the backyard there is a walkway connecting to the backyard of Bob & Corky's Home Care II. LPA noted fresh fruit in the kitchen for residents to enjoy freely. The facility has battery operated smoke detectors in each room that are all working, the carbon monoxide detector is in the dining room and functioning normally. LPA observed a fire extinguisher in the kitchen that was tagged current and in the green compression range, serviced on 03/21/2025. At 09:25am in the kitchen LPA observed a steak knife in an unlocked drawer next to the refrigerator. LPA tested facility hot water at 114.1*(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 with no obstructions in hallways, doorways or exits. Medications are locked in a cabinet in the kitchen and garage. LPA conducted a sample medication audit and reviewed the facilities Centrally Stored Medication Records. LPA conducted a staff and resident file review. LPA and backup Administrator conducted a review of the annual care tool modules. Exit interview, report signed, deficiencies cited on LIC809-D, appeal rights, and report provided