At 9:15 a.m. the LPA toured the physical plant areas inside and outside to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations.

KITCHEN: The LPA began the inspection in the kitchen/food service area. Knives are stored in a locked drawer next to the oven. Kitchen appliances were in operable condition. The facility has a sufficient supply of perishable and non-perishable food. Cleaning supplies were observed under the kitchen sink locked and inaccessible to residents in care. Hot water in the kitchen sink faucet measured at 114.7 degrees Fahrenheit (F).

COMMON AREAS: At the time of the visit, living room and dining room furniture was observed to be in good condition. Cameras were observed at the time of the visit however Licensee stated that they are not working at the moment. Smoke detector(s) and carbon monoxide detector were tested at 10:34 a.m. and operational at the time of the visit. The fire extinguisher was fully charged and last purchased on 04/14/2024. All exits have functioning auditory devices and were operational at the time of the visit. The LPA observed required postings throughout the common space. There is a separate laundry room, which is kept locked.

Continued on LIC 809

BEDROOMS: The LPA observed four (4) resident bedrooms, which were furnished appropriately with clean linens, appropriate furnishings, and sufficient lighting. There was a linen closet in the hallway with extra towels and linens.

RESTROOMS: The two (2) resident restrooms were clean and sanitary and in operating condition with grab bars and non-skid surfaces. The bathrooms were sufficiently stocked with supplies and paper towels; towels and washcloths are not shared. The hot water temperature was measured and in compliance at the time of the visit between 105- and 120-degrees Fahrenheit.

OUTDOORS: The backyard has a covered outdoor area equipped with furniture for resident use. The facility has two (2) side gates that self-latches with no obstructions in case of an emergency at this time. There were no bodies of water noted. LPA observed a sufficient amount of space for activities. There was a detached garage located on site. LPA observed garage to store extra furniture and medical supplies at this time, a fridge with extra food. Emergency water was stored next to the garage.

RECORDS: Records review of resident files began at 9:44 a.m.; four (4) resident records were reviewed for, but not limited to: appraisals, medical records, admissions agreement, consent forms. All records were in order. The LPA reviewed three (3) personnel files for, but not limited to, the following: personnel records, health screening, criminal record statements, and current first aid certification. All files were complete. The LPA also audited the current Administrator’s file, and it was in order.

MEDICATIONS: Medications review began at 10:57 p.m. The medications are centrally stored and locked in a cabinet nextto the kitchen in the laundry area. Medications are labeled and checked for expiration dates. Medications are properly documented on the centrally stored medications and destruction record.

No deficiencies cited at this time. Exit interview. A copy of the report was issued.