Routine inspection·May 14, 2024

Licensing Program Analyst, (LPA) Cuadra arrived unannounced to conduct an Annual Required Inspection and met with Administrator, John Schoonover. Required postings were observed. LPA initiated a tour of the facility and made the following observations: Facility was a comfortable temperature and passageways were free from obstructions. Resident rooms were furnished per regulation. Water temperature in resident's bathrooms measured at 116.2 and 111.6 degrees F which are within allowable range of 105 to 120 degrees F. Extra hygiene products and linens were available. Bathrooms had required bath mats and grab bars. Cabinet in laundry room containing cleaning supplies was locked. Facility has at least two days of perishable and one week of non-perishable foods. Medications were centrally stored and locked. Fire extinguisher was bought April 22, 2024 and it was fully charged. Smoke detectors located throughout the facility were tested and operational. Carbon Monoxide Detector was tested and operational. Last disaster drill conducted on April 25, 2024. File review was initiated at 9:30 am. Two staff files and three resident files were reviewed. Residents have current medical assessments and care plans. Staff have required First Aid and CPR certificates. Administrator Certificate for Administrator, John Schoonover 6030504740 expires 2/2/2025. Medications and medication records were reviewed. Training records were reviewed. Administrator to submit updates of the following documents by 5/24/2024: Designation of Administrative Responsibility (LIC308), Personnel Report (LIC500), Emergency Disaster Plan (LIC610E if there are any changes) and copy of liability insurance. No deficiencies cited during this inspection. Exit interview conducted with Administrator and a copy of this report was given.