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25 | Licensing Program Analyst (LPA) Hannah Rodgers conducted an unannounced Required Annual Inspection. The facility file was reviewed prior to the visit. LPA was greeted by, identified themselves to and discussed the purpose of the visit with Executive Director Jeremy Danenhauer and Resident Service Director Lizzie Dela Fuente Mistica. The facility's license shows a maximum capacity of 125 non-ambulatory residents, of which 39 may be bedridden. Hospice waiver for 17. Delayed egress approved for Memory Care Unit. During today’s inspection there were 91 residents in care.
LPA with Resident Service Director De La Fuente Mistica toured the interior and exterior of the facility, and inspected a sample of rooms. Pathways were free of obstruction and slip hazards.The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and resident activities. The facility contained at least 2 days of perishable food, and at least 7 days non-perishable food, all safely stored. Cooking, dining equipment, and utensils were present. No toxic chemicals or poisons were accessible to residents. Medications were labeled, as required, and stored in locked areas. Per Resident Service Director De La Fuente Mistica, no firearms or ammunition are kept at the facility. Carbon monoxide detectors and emergency lighting were in working order. Fire extinguisher(s) were serviced within the last 12 months. Required licensing postings were observed in visible areas of the facility.
LPA reviewed facility records. Due to time constraints, the annual inspection could not be completed and a return visit on a subsequent day is needed.
No deficiencies were cited during the inspection. An exit interview was conducted with Resident Service Director De La Fuente Mistica to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided.
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