Routine inspection·December 17, 2024

12/17/2024, Licensing Program Analyst (LPA) Loera conducted an unannounced Annual Required – 1 yr. inspection visit for this facility. Facility has an emergency disaster plan as required. Facility has an infection control plan as required. There are currently four(4) residents in care. Facility approved/cleared for 6 non-ambulatory and hospice waiver for 3. At approximately 9:20am, LPA and Licensee toured the building and grounds. The facility was found to be at a comfortable temperature. LPA observed a 2 day supply of perishable and 7 day supply of non-perishable food. Refrigerated food was found to be stored in a safe manner being labeled and dated. Medications were found to be centrally stored. All rooms were equipped with lighting, night stand, and chest of drawers. All rooms were in good repair. Extra hygiene products and linens were available. Water temperature in sinks accessible to residents in care were measured at 113.5 degrees F which is within the range of 105 to 120 degrees F. Fire extinguishers were last inspected 09/2024. Facility conducts quarterly disaster/fire drills with the last one being conducted 9/18/2024. Smoke/Carbon Monoxide detectors located throughout the facility were tested and operational. Toxins, sharps and other items that could pose threat if available to residents were located in the laundry room and under the kitchen sink and were found to be secured. LPA conducted spot medication count and found all prescription medication to be properly recorded on the Centrally Stored Medication Record. LPA conducted a review of four (4) resident records. All records had the required documentation. LPA conducted review of three (3) staff records/training. Upon a review of staff records, LPA found all staff to have required annual and initial training as well as current 1st Aid & CPR certification on file. No deficiencies cited during today's inspection . Updated copies of the following documents were requested for facility file and are to be submitted to CCL within 30 days of this visit: continued on LIC809-C LIC500 - Personnel Report LIC308 - Designation of Responsibility LIC610 - Emergency Disaster Plan (Updated) Infection Control Plan (Review, update if needed) Exit interview conducted with Licensee and a copy of this report was provided .