Routine inspection·November 7, 2023

Licensing Program Analyst (LPA) Nakagawa arrived unannounced to conduct an Annual Required inspection and was greeted by Administrator Noel Factor. LPA and Administrator toured the facility and made the following observations: Facility was a comfortable temperature and passageways were free from obstructions. Residents' rooms were furnished per regulation. Extra hygiene products and linens were available. Facility has at least two days of perishable and one week of non-perishable foods which appeared to be of quality and stored per regulation. There were fire extinguishers throughout the facility, all that were inspected were fully charged and tested 07/24/2023. Fire Dept. conducted inspection on 11/7/2023. Disinfectants and cleaning solutions were stored inaccessible to residents. Required postings were observed. Administrator Certificate #6039807740 for Noel Factor expires on 08/16/2024. Medications were reviewed, centrally stored and locked. LPA reviewed five residents' files, all residents files have a current medical assessment and care plans updated within the last 12 months. LPA will continue Annual Inspection to review personnel files at a later date. Exit interview was conducted with Administrator and a copy of this report was provided.