Routine inspection·March 23, 2023

Licensing Program Analyst (LPA) Jenny Olson conducted an unannounced Annual visit to the facility above. LPA met with Valentina Roberts at 10:45 AM, and explained the purpose of the visit. Administrator stated there are 2 residents currently living in the facility. The facility has 4 bedroom's and 2 bathrooms. 2 resident bedrooms are occupied by single residents. LPA observed all necessary postings in the hall to the left of the entrance. LPA toured the entire inside and outside of the facility with Administrator. There is ample room outside for residents to be outdoors with a table, chairs and awning for shade. LPA observed the refrigerator, cabinets, microwave, and oven to be clean with enough food for residents. Medications were observed locked and secured in a cabinet located to the upper right of the kitchen sink. LPA observed knives and sharps locked in a drawer. LPA observed chemicals to be locked in the garage. At 12:30 PM LPA tested the water temperature and observed it was at 115.1 degrees F. At 12:40 PM LPA tested the fire/carbon monoxide detector and observed them to be working and operational. LPA didn't observe any violations and observed the facility to be clean and in good repair with all passageways and exits to be free and clear of debris and obstacles. Around 11 AM LPA reviewed facility staff files for completeness. Around 11:45 AM LPA and Staff conducted a full CARE Tool Facility Inspection. Around 12:45 PM LPA conducted a cursory medication audit and reviewed MARs and medications paperwork. Around 1:30 PM LPA reviewed facility resident records for completeness. Around 2 PM LPA observed a fire extinguisher charged and last inspected on 2/7/23. Around 2:15 PM LPA Interviewed 2 staff and 2 residents who were present. Exit Interview conducted, a copy for the report was issued to facility.