Routine inspection·July 16, 2025

At 09:15am, on 07/16/2025, Licensing Program Analyst (LPA) Haner-Tomasko arrived at the facility unannounced to conduct the annual facility inspection. LPA met with Licensee/Administrator Eric Bunte, 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 2 dual occupancy and 2 single occupancy resident bedrooms, one full shared bathroom and one half shared bathroom. On the second floor is a live-in staff bedroom with full staff bathroom. There is a living room with dining space, a kitchen and office area. While touring the kitchen LPA noted fresh fruit and snacks in the kitchen for residents to enjoy. At 9:42am in the kitchen LPA noted over fifteen prescription and non-prescription medications in four unlocked cabinets and a bottle of liquid lorazepam unlocked in the kitchen refrigerator, all accessible to residents in care. Access to the laundry room is in the hallway. The garage containing cleaning supplies and laundry detergent is through a locked door for resident safety. LPA noted that the backyard has seating and shade for residents and visitors. While touring the backyard at 10:15am LPA noted nine bottles of chemicals (including bleach and Cascade dish washing soap) unlocked and accessible to residents in care. The facility has wired smoke detectors in each bedroom and hallway leading to a bedroom that are all working, the carbon monoxide detector is in the hallway and functioning normally. LPA observed a fire extinguisher near the office area that was tagged current and in the green compression range, purchased on 08/14/2024. LPA tested facility hot water at 110.4*(f), within regulation temperatures 105*-120* (f). LPA observed at least 2 - days of perishable and at least 7 - days of nonperishable foods. (Continued on LIC809-C) LPA noted that the facility has no obstructions in hallways, doorways or exits. Medications, staff and resident records are locked in a cabinet in the 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. Deficiencies were cited at this time. Exit interview, report signed, deficiencies cited on LIC809-D, appeal rights, and report provided.