Routine inspection·September 17, 2025

At 1:30pm, on 9/17/2025, 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. Backup Administrator and LPA conducted a full tour of the facility. This facility has five resident bedrooms (one is dual occupancy) and three full bathrooms (two are on-suite and one is for public/shared use). There is a living room with dining space and a kitchen. Access to the laundry room and garage is through a locked door for resident safety. LPA noted that the backyard 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 battery operated dual smoke and carbon monoxide detectors in each room that are all working. LPA observed a fire extinguisher near the kitchen that was tagged current and in the green compression range, serviced on 3/21/2025. LPA tested facility hot water delivered by two separate water heaters at 119.5 & 107*(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. Medications are locked in a cabinet. 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 Backup Administrator conducted a review of the annual care tool modules. There were no deficiencies cited at this time. Exit interview conducted, report signed, and report provided to Backup Administrator.