Routine inspection·March 25, 2025

Licensing Program Analyst (LPA) Rankin conducted an on-site 1-year annual visit to the facility above on 3/25/25 at 8:20 a.m. LPA met with Administrator and Licensee Jessica Rust and explained the purpose of the visit. LPA toured the physical plant areas inside and outside to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations. KITCHEN: Knives are stored in a locked drawer in the kitchen. Kitchen appliances were in operable condition. The facility has a sufficient supply of food, including emergency food supplies. Common areas: Living and dining room furniture were observed to be in good condition. The facility has Smoke detector(s) and a carbon monoxide detector which were working at the time of the visit. LPA observed required postings throughout the common space. The fire extinguisher was charged and serviced 12/11/2024. The backyard has a covered outdoor area equipped with furniture for client use. Facility has open areas for visitors. No bodies of water noted. Restrooms: The resident restrooms were clean and sanitary and in operating condition with non-skid matts and flooring. Bedrooms: There are five (5) resident rooms, which were furnished as required. There is sufficient light for residents’ comfort. The door alarms that were tested were operational. Continued on 809-C Records: LPA reviewed resident and staff records. LPA reviewed five (5) resident files for, but not limited to, the following: signed admission agreements, current medical assessments with TB results, and current needs and services plan. All files were complete. LPA reviewed three (3) staff files for, but not limited to, the following: personnel records, health screening, criminal record statements, and current first aid certification. Files had all required documentation. All First Aid and CPR certifications are up to date and annual training is complete. MEDICATIONS: A sampling of medication was reviewed. The medications are centrally stored and locked in a cabinet in the living room. Medication and records are maintained according to regulation requirements. PRN authorization forms were found in resident files and PRN records are kept for each dose. EMERGENCY/DISASTER POSTING: Emergency numbers and procedures were posted, and drills are done quarterly. Exit interview conducted. A copy of the report was provided.