Routine inspection·May 4, 2022

Unannounced annual visit made out to this facility on 05/04/2022 by Licensing Program Analysts (LPA)s Charlie Yang and Arielle Pascua who were met by the facility caregiver, Tanya Sangster, and requested to go ahead and contact the facility designated Administrator, Heather McClosky, who arrived shortly thereafter. A brief interview was conducted with the facility designated Administrator. Current census was 9 residents. It was learned that there weren't any residents under the care of home health at this time. There weren't any residents under the care of hospice at this time. This facility does not carry a plan of operation to accept and retain residents diagnosed with dementia. This facility does not have a waiver to accept and retain any residents in need of hospice care. Tour of this facility was conducted. Kitchen area was toured. Cabinets and drawers were reviewed. Drawers and cabinets housing cleaning supplies were observed to be locked and made inaccessible to the residents at this time. Dining room, living area, and all other areas designated for resident use were observed to be maintained and observed to be in compliance at this time. A tour of the resident bedrooms was conducted. Furniture and furnishings were observed to be present and maintained in compliance at this time. A tour of the resident restrooms was conducted. Grab bars and non skid mats were observed to be present and in compliance at this time. Hot water temperatures were taken and measured to make sure that they were within the allowed range of 105-120 degrees. Medication cabinet, located as a medication cart in the dining area, was reviewed. Policies and procedures for documenting, dispensing, and refilling the medications were discussed with the facility designated Administrator. Food supply was reviewed for 2-day perishable and 7-day nonperishable food quantities. Additional food storage units were observed to be present in the garage area. Garage area was toured. It was learned that this space was used to store furniture and items for resident use. Additional food supply quantities were observed to be present as well. Fire extinguishers were observed to be placed throughout this facility and were annually inspected on 09/09/2021 by Gateway Fire Extinguisher Company and in compliance at this time. First aid kit was observed to be present and contained all required components at this time. Linen closet, located in facility restroom, was observed to contain a sufficient supply of blankets, sheets, and towels for resident use. Laundry area, located next to the kitchen, was observed to be locked and made inaccessible to the residents at this time. Exterior grounds of this facility was toured. Facility perimeter fence, side gate, and emergency exits were reviewed. The following forms were requested to be updated and submitted into CCL: LIC 308 LIC 400 LIC 500 LIC 610 There were no deficiencies observed or cited during today's annual visit. Exit Interview