Routine inspection·November 25, 2024

On 11/25/24 Licensing Program Analyst (LPA) Maja Jensen arrived at facility unannounced to conduct a required 1 year annual visit. LPA Jensen met with Administrator Voica Matis and explained the purpose of today's visit. LPA Jensen toured the grounds which were observed to be well maintained. All paths were free of obstruction. The window screens were in good repair. There is a shaded area and patio furniture for clients to enjoy outdoor activities. The back gate has a self closing latch. LPA Jensen toured the interior and observed the facility to be sanitary and free of odor. There was adequate lighting and furnishings throughout. LPA Jensen inspected the kitchen and observed 2 days of perishable food and 7 days of non-perishable food to be available. There was fresh fruit including apples, bananas, pears and oranges as well as a variety of fresh vegetables. LPA Jensen observed lunch service which consisted of BLT sandwich, fries, juice and ice cream for dessert. LPA Jensen inspected the common areas, bedrooms, laundry room, bathrooms and garage. The water temperature in the bathroom was tested and determined to be within the required range. There are adequate linens available for frequent bedding changes. The fire extinguisher was last serviced in April of 2024 and is in compliance. The carbon monoxide detector was tested and found to be in good working order. The facility maintains first aid kits that are complete. All medications were observed to be locked and inaccessible to residents in care. LPA Jensen reviewed 3 of 3 resident files and both staff files for the care providers that were present on this day. The resident files and staff files were complete and in compliance. The facility has capacity for 6 residents, all of which can be non-ambulatory. There is also a hospice waiver for 2. Currently there are 2 non-ambulatory residents and 1 resident on hospice. The staff present on this day were verified as having criminal background clearance. The facility has a van for transporting residents to appointments if needed. LPA Jensen verified the van has current registration and liability insurance. LPA Jensen and Administrator Voica Matis discussed updates to dementia care that take effect on January 1, 2025. The facility was determined to be in substantial compliance. No deficiencies were observed. An exit interview was conducted and a copy of this report was given.