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25 | On 01/24/2024, Licensing Program Analyst (LPA) Walton arrived unannounced to conduct an annual inspection. LPA introduced self, stated the purpose of the visit and requested to meet with the Administrator. Facility staff contacted Administrator, Shemeles Kabteneh via telephone. Administrator is unable to attend this inspection. LPA received verbal permission to meet with Facility Staff, Azeb Biratu.
LPA conducted a tour inside and outside the facility, and reviewed facility records. LPA observed the following:
Facility currently has 2 residents. Facility observed to be clean, odor free, and at a comfortable temperature. The dining room and living room were furnished well with adequate seating and lighting. Resident rooms appeared clean and had all required furnishings. LPA observed an adequate supply of linen. Resident bathrooms were properly equipped with securely fastened grab bars and non-skid mats. Hot water measured at 115.6 degrees F. Kitchen toured, appeared clean, observed a 7-day supply of non-perishable and 2-day supply of perishable food. Knives/Sharps observed to be locked in a kitchen drawer. Exterior tour conducted, all exits open and free of obstructions. Side gate was observed to be self-latching.
Fire extinguisher serviced on 04/03/23. Smoke detectors and carbon monoxide detectors observed operational during today’s inspection. All chemicals observed to be locked and secure in a cabinet in the laundry room. Medications observed to be inaccessible to persons in care and administered as prescribed.
No deficiencies issued during today's inspection. Exit interview conducted. A copy of this report was discussed and provided to Facility Staff, Azeb Biratu, whose signature on this form confirms receipt of this document.
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