According to the facility’s license, the facility has a maximum capacity of 6 residents, all of whom may be non-ambulatory and age 60 and over. The facility has hospice approval for one (1) resident.

During today’s inspection, there were a total of 1 (one) residents in care. One resident is currently at a SNF until further notice. This facility does not feature a secured perimeter or delayed egress doors.

LPA, accompanied by Jocelyn, toured the interior and exterior of the facility, and inspected each room. The facility was clean, sanitary, and in good repair. Pathways were free of obstruction and slip hazards. Resident bedrooms contained the required furnishings. Doors, windows and screens, toilets, and showers were in working order. Extra linens and hygiene supplies were present, as well as Personal Protective Equipment. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and resident activities. The facility’s ambient internal temperature was 74 F. Hot water temperature at taps accessible to residents were all compliant: Bathroom #1 sink was 108.3 F, Bathroom #2 sink was 108 F.

There was at least 2 days of perishable food, and at least 7 days non-perishable food present, all safely stored. Cooking/dining equipment and utensils were present. There were no sharp objects, toxic chemicals/poisons, fireplaces, or open-faced heaters accessible to residents. Medications were labeled, as required, and stored in locked areas. (continued on next page, LIC 809-C)

LPA interviewed staff and residents. LPA reviewed staff and resident records/files. The interviews did not raise any significant licensing concerns. The reviewed files contained required documents. Confidential records were stored in locked areas. Licensee emailed proof of current/active business liability insurance to LPA.