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25 | Licensing Program Analysts (LPA) Jerome Haley conducted an unannounced visit for the purpose of conducting a required one-year annual inspection. LPA were greeted, granted entry by staff, and explained the reason for the visit before entering the facility.
Two residents present during the visit and both residents were sleeping during the visit. Right next to the front door there’s a closet with shoes and jackets, and PUB 475 poster hanging next to the front door. Resident bedrooms were clean, organized, and had all the necessary requirements: nightstand, chair, lamp, and storage space. Resident bathrooms were clean and organized. Hot water temperature was measured in the range of 117.6 – 118 degrees Fahrenheit. The kitchen was clean and organized. Knives and sharp objects were locked in a drawer near the stove. All burners on the stove were operational. The facility has a two-day supply of perishable food items and seven-day supply of nonperishable food items. There’s a laundry area in the back of the kitchen with a washer, dryer, locked cabinets with a supply of cleaning chemicals, and a pantry area with an additional supply of nonperishable food items. The backyard had a shaded area with tables and chairs for the residents to enjoy. There's a pool is surrounded by a 5-foot self-latching gate. The garage is locked and off limits to residents. The garage is used as a workshop for the licensee. In the garage, several tools, bicycles, and a motorcycle was observed.
All smoke detectors were tested and are operational, and the carbon monoxide detector tested operational. Emergency evacuation drills are conducted quarterly, and the last drill was conducted in July 1, 2025. A review of 2 of 2 resident files and a review of 2 of 2 resident medications was conducted. Two staff files were reviewed and two staff were interviewed.
No deficiencies are being cited as a result of today’s annual inspection. An exit interview conducted, and a copy of the report and appeal rights were provided.
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