Routine inspection·December 26, 2023

Licensing Program Analyst (LPA) Steve Chang conducted an unannounced annual inspection, and met with administrator (ADM) Dave Magno . LPA observed 4 residents and 3 staff at facility. LPA reviewed 4 resident files and 4 staff files. Facility license, Administrator Certificate, and personal right posters were observed at main entrance. LPA toured the facility with ADM inside and out. LPA inspected living room, dinning area, kitchen. There are 2 restrooms, 4 resident rooms in facility. Two days perishable foods and seven days non perishable foods were observed sufficient. Room temperature was observed at 73 degree F, hot water temperature was observed at 113 degree F. Temperature of refrigerator was measured at 40 degree F, and temperature of freezer was observed at 0 degree F. Medication cabinet, Knives closet and cleaning products closet were observed locked. No night lights was observed in the hallway, and no flash lights was available in the facility. Fire extinguisher was serviced on 1/11/2023. The facility is equipped with fire alarm and carbon monoxide detectors. Smoke detector alarm system was tested, and was working fine. First Aide Box was observed available in the facility. Front yard and backyard were inspected. There was no obstruction to block the walkways. A detached garage was observed with 3 cars at the back yard. Two staff live-in rooms were observed at the backyard. ADM stated the detached garage and two staff rooms existed when ADM bought the property. The facility sketch shows the detached garage and two staff live-in room. Facility last fire and emergency drill was conducted on 12/01/2023. No citation was issued today. Exit interview was conducted with ADM. This report was provided to ADM for signature. A copy of this report was provided to ADM.