Routine inspection·January 26, 2024

On 1/26/2024, Licensing Program Analyst (LPA) M. Medina conducted an unannounced Annual Required Inspection. LPA introduced self, stated purpose of visit, and allowed entrance by caregiver. Licensee/Administrator contacted by telephone and arrived a short time later to conduct inspection. Currently, six (6) residents in care. All residents present during inspection. Residents observed watching television in the living room or relaxing in their room. Facility tour began in resident bedrooms. Rooms observed to have all required accommodations. LPA observed beds for R1, R2, R3, R4, and R5 have 1/2 bed rails with no doctors orders. All areas of the facility have sufficient lighting. Residents bathrooms observed to be clean and in good repair. Bath/tub are have non-skid mats and grab bars. Hot water tested in resident bathroom with a water temperature of 108 degrees F. Dining room and living room have adequate seating and lighting for all residents in care. Tour of kitchen conducted. LPA observed adequate food supply for the residents in care. LPA observed leftovers stored in the refrigerator and/or freezer observed to be properly stored and labeled. Medications observed to be locked in medication cart near kitchen area. Smoke Alarms tested & observed to be operational at time of visit. Carbon monoxide detector present and visible in hallway near resident bedrooms. Fire extinguisher has a service date of 1/04/2023. All cleaning supplies observed to be locked in secured under kitchen sink and in garage. Outside areas toured. All exits open freely and observed to be free of obstruction. No hazards observed. Staff and resident files reviewed Deficiency cited on attached 809D. Exit interview conducted with Administrator and copy provided for facility records.