Routine inspection·May 8, 2025

At 01:30pm, on 03/24/2025, 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 1:50pm Backup Administrator and LPA conducted a full tour of the facility. This facility has five resident bedrooms (one is dual occupancy), three full bathrooms all for public/shared use. There is a living room, dining room, kitchen and office area. Access to the laundry room and both garages are through locked doors for resident safety. LPA noted that the backyard and the front yard both have seating and shade for residents and visitors. LPA observed residents actively involved in a craft activity at the time of the visit. The facility has battery operated smoke detectors in each room that are all working, the carbon monoxide detector is in the hallway 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. LPA tested facility hot water at 109.8*(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 cabinets in the kitchen and garage. 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. No citations given at this time. Exit interview, report signed, and report provided.