Routine inspection·December 6, 2023

On 12/06/2023, Licensing Program Analyst (LPA) M. Medina made an unannounced Annual Required Inspection. LPA was allowed entrance by staff, Jennifer Thompson. During the inspection it was stated that Jennifer Thompson is Administrator, however, this Department has not received any paperwork. Currently, six (6) residents in care. Residents attend day program Monday-Friday 6:45 am - 3:15 pm, All residents were at Day program at time of inspection. Facility tour began in resident bedrooms. Rooms observed to have all required accommodations. All areas of the facility have sufficient lighting. Residents bathrooms observed to be clean and in good repair. Bath/tub are have non-skid mats and grab bars. Hot water tested in both bathrooms with a water temperature of 108 degrees F. Dining room and living room have adequate seating and lighting for all residents in care. Tour of kitchen conducted. LPA observed adequate food supply for the residents in care. LPA observed leftovers stored in the refrigerator and/or freezer observed to be properly stored and labeled. Medications observed to be locked in small cabinet in hallway. All medications observed to have original labels and administered as prescribed. Smoke Alarms tested observed operational at time of inspection. Carbon monoxide detector present in dining room and observed operational at time of inspection. Fire extinguisher has a purchase date of 12/06/23. All cleaning supplies observed to be locked and secured under kitchen sink. Facility has no proof of liability insurance on site. Outside areas toured. All exits open freely and observed to be free of obstruction. No hazards observed. Due to time constraints, file reviews and interviews will be conducted at a later time. Facility to submit updated LIC 309, LIC 500, LIC 610E, Deficiencies cited on attached 809D. Exit interview conducted, appeal rights and copy of report provided for facility records.