Routine inspection·December 30, 2024

At 10:30am on 12/30/2024, Licensing Program Analyst (LPA) De Leon conducted an unannounced Annual visit to the facility. LPA met with Licensee Evelyn Strampe and explained the purpose of the visit. This facility is a five bedroom, 2 bathroom, living room, kitchen and dining room with a laundry room behind the kitchen some laundry and cleaning supplies were in the laundry room area not locked due to a resident wandering LPA requested a locking cabinet in the laundry room for these supplies. LPA toured of the facility, This facility has medications in locked drawers in the kitchen area all medication was checked for expiration dates, altered labels and that medication is being stored in original containers, LPA recommended a locked box for medications that needs refrigeration. Staff and Resident files are in a locked cabinet in the dining room area. Resident files were up to date with most forms and missing the updated Appraisal needs and services plans, Administrator will bring them up to date. Administrator files were missing, Administrator will make copies of records at other facility and bring them to this facility. Administrator will send any missing forms to LPA. LPA noted that there are at least two days of perishable foods and at least 7 days of non-perishable foods as well as emergency non-perishable foods. The bathrooms have liquid soap, paper towels,showers have non-slip mats and secured grab bars bare present. Facility has extra resident supplies clean linen and towels for residents use. PPE supplies are available for staffing use and visitors if requested. LPA noted that all resident bedrooms and bathroom have appropriate bedding, linen, and furniture of the resident choice. The facility has a first aid kit. The facility has dual carbon monoxide and smoke detectors. All exits and hallways are free and clear of any obstructions. LPA observed the fire extinguisher to be charged and last inspected on May 21, 2024. The facility was clean, sanitary and in good repair. Kitchen was free of rodents or insects and kept in sanitary condition. LPA reviewed staff and resident files some of the forms where missing and Administrator was completing any necessary forms with family and residents. The outside side gate has normal wear and tear and is no longer self closing or self latching and is in need of repair, Administrator will fix. The annual control tools modules were reviewed with Administrator/Licensee. Exit interview, deficiencies cited, copy of report and appeal rights printed for Licensee/Administrator.