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25 | On 01/04/24 Licensing Program Analyst (LPA) Cheyenne Ratajczak arrived at the facility unannounced to conduct a Required- 1 year inspection utilizing the Care Tool. LPA met with Administrator Nellie Johnson and explained the purpose of the visit.
LPA and Administrator conducted a tour of the interior and exterior of the facility. Areas toured included but not limited to: three (3) shared resident bedrooms, two (2) private resident bedrooms, four (4) bathrooms, kitchen, backyard, garage, and the common areas. LPA observed four (4) residents in the common area watching television with caregivers, two (2) residents in their rooms and one (1) residents at the dinning room table doing an activity. LPA observed the facility to have all the needed posters on the wall.
LPA observed the facility to have 2+ days of perishable and 7+ days of nonperishable foods. LPA observed knives and medications to be in locked cabinets. LPA observed toxins to be locked an inaccessible to residents in care. LPA observed smoke detectors and carbon monoxide detectors present and operational. Fire extinguisher was last serviced on 10/09/23 and is ready for emergency use. First aid kit is maintained and ready for use when needed. Water temperature was observed at 113 degrees Fahrenheit in the kitchen sink. LPA observed the temperature in the facility to be 75 degrees.
LPA conducted a file review of two (2) personnel and four (4) residents records. All files have the required documents.
Administrator will send LPA Ratajczak a copy of the current liability insurance and copy of current Administrator’s Certificate to update the facility file.
LPA completed the full care tool and no deficiencies was observed.
Exit interview conducted and a copy of the report was left at the facility.
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