KITCHEN: The LPA began the inspection in the kitchen/food service area at 2:00 p.m. Kitchen appliances appeared clean and were in operable condition at the time of the visit. The facility has a sufficient supply of perishable and non-perishable food. Refrigerator and food pantry were checked for proper labels and expiration dates and food labels had expiration date clearly marked. Cleaning solutions and soaps were observed stored under the kitchen sink inaccessible to residents in care. Knives and sharps were observed in a locked drawer.

COMMON AREAS: At the time of the visit, living room and dining room furniture was observed to be in good condition. The facility maintained a comfortable temperature. At 2:37 p.m., the smoke detector(s) and carbon monoxide detector was tested and operational at the time of the visit. The fire extinguisher was observed to be in compliance and last charged on 01/11/2024. The LPA observed required postings throughout the common space. There is a working telephone on premises.

(Report Continued on LIC 809C...)

BACKYARD: The backyard has a covered outdoor area equipped with furniture for resident use. The facility has one (1) side gate that self-latches. The pool is kept secured from residents. All indoor and outdoor passageways were free from obstructions in case of an emergency.

BEDROOMS: There are four (4) resident bedrooms. The LPA observed the resident bedrooms to be furnished appropriately with clean linens, appropriate furnishings, and sufficient lighting.

RESTROOMS: There are two (2) resident restrooms. 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 in both bathrooms. First bathroom measured 113.9 degrees Fahrenheit at 2:11 p.m.; and the second bathroom measured 107.6 degrees Fahrenheit at 2:18 p.m.

RECORDS: Records review began at 1:13 p.m.; four (4) resident records were reviewed for, but not limited to: appraisals/needs and service plan, medical records, admissions agreement, consent forms. All records were complete.

Five (5) personnel records were reviewed for, but not limited to: personnel records, health assessments, criminal record clearances, first aid/CPR training, and the appropriate training. All files were complete.

The facility is vendored by Tri-Counties Regional Center (TCRC) as a level 2 home. The last emergency disaster drill took place on 12/31/2023.

Due to time constraints the LPA will return to complete the annual at a later date. No deficiencies cited at this time. Exit interview conducted. A copy of the report was provided.