Routine inspection·February 2, 2024

Licensing Program Analysts (LPA's) Manuel Monter and Mita Partoza conducted an unannounced annual inspection visit, and met with Administrator (ADM) Marie Pendar. During the visit, LPA observed 2 residents and 1 staff. As LPA's attempted to enter the facility, LPA's observed a locked gate. LPA's rang the button near the black metal door and staff exited the front door and unlocked the metal gate with a key. The metal gate has a dead bolt lock on both sides, requiring a key to open. (Photographs taken.) LPA's asked staff S1 his/her name. LPA's cross referenced residents name with LIS personnel and guardian. S1 is not associated to the facility. S1 stated he/she has been working at the facility since October 2023. ADM stated S1 is not associated at this facility. LPA toured the facility inside out with ADM which included the Living room, kitchen, dining room, 2 restrooms. While touring facility bathroom #2, LPA's observed a spray bottle of Lysol. (Photographs taken.) LPA's toured 6 residents bedrooms. While touring resident bedroom #2, LPA's observed dead flies and cobwebs at the window sill. (Photographs taken.) . The staff area of the facility was also inspected. The front yard and backyard were inspected. While touring the backyard, LPA's observed a mallet, outside of the garage door to the backyard. LPA's also observed a lawn mower and a red container, with gasoline inside, located between the garage door exit to the back yard and the kitchen window. (Photographs taken. ) While touring the backyard, LPA's observed Miracle-Gro plant food and Insect & Fungal disease control spay was observed in the backyard, near resident bedroom #1. LPA's observed a mini electric stove, next to the outlet in the back yard, near resident bedroom #1. (Photographs taken) Two-day perishable food supplies and seven day nonperishable food supplies were observed. LPA observed the medication storage area, knives storage area, and cleaning product storage area as locked and inaccessible to residents in care. Room temperature was at 70 degrees F, and hot water temperature was measured at 108 degrees F in both resident bathrooms. LPA measured facility kitchen sink water temperature, at 142 degrees F. Fire extinguisher was serviced in January 2024. The facility was equipped with smoke and carbon monoxide detectors. Smoke detectors was tested by ADM, and were functional. LPA observed facility first aid kit. LPA requested to review facility drill log. ADM stated she has not conducted a drill yet. LPA reviewed facility records for 2 residents. LPA reviewed 2 resident medications and centrally stored medication records and Medication Administration Record (MAR). While review R1's medication records LPA's observed 2 medication tablets, unsecured in the bottom of the medication container. While reviewing R1's medication records, Medication #1 and Medication #2 was not listed on the Centrally Stored Medication Log. While reviewing facility MAR for R1, LPA's observed the MAR states R1 refused Medication #1 from February 1st to February 8, 2024. ADM stated that was a mistake. LPA requested to review 2 staff records. ADM stated the files were not available. ADM went to get the staff files, which were located at her other facility, at 1:30pm. ADM returned at approximately 1:50pm. LPA reviewed Staff S1 documents. ADM stated she has not updated staff records of S1 and ADM for Marcel's Memory Care. LPA conducted interviews with 1 staff (S1) and 2 residents (R1-R2). Deficiencies cited during today's visit. This report was reviewed with Administrator Marie Pendar and a copy of the signed report was provided. A civil penalty is being assessed for the amount of $500 ($100 per day x 5 days = $500) for S1 working and residing in the facility without association. Appeal rights were provided.