A physical plant tour of the facility inside and outside was conducted with Administrator. The following common areas: dining, kitchen, family, resident bedrooms, and bathrooms were inspected to ensure the facility was in compliance with Title 22 Regulations:

Kitchen: LPA observed a Licensing requirement of (7) day nonperishable, and (2) perishable, with (1) extra refrigerator stocked with food located in the garage. Food was labeled and properly stored in a healthy manner. Appliances were functional, clean, and in good repair. Chemicals, medication, household supplies, and knives, were secured and locked in kitchen cabinets and garage area. Dining/family: All indoor passageways were free from obstruction; inside temperature was comfortable, with adequate lighting, and all areas were clean and appropriately furnished for resident’s comfort. Bedrooms: The facility has (4) bedrooms. All bedrooms were properly furnished and supplied with appropriate bedding and linens. Rooms observed to have bedspreads, sheets, pillowcase, mattress pad, and blankets, and were in good repair. There were sufficient linens and towels observed, as well as hygiene products available for residents. Bathrooms: There are (2); both were clean, with soap and towels, grab bars, and non-skid mats. Hot water measured at 111.2 degrees Fahrenheit. Surrounding Grounds: There were no visible hazards, passageways were free from obstruction, and gates were easily accessible. Smoke alarms and carbon monoxide detectors were tested and operating properly.

Record review: A complete record review of staff, residents, and medication ere conducted. Staff # 1, was missing current, orientation and medication training documentation. This poses as a potential health and safety risk tor residents in care. Resident and medication records were reviewed with no errors.

Citations issued, appeal rights, exit interview, and copy of report provided.