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25 | Licensing Program Analyst (LPA) Joseph Alejandre made an unannounced visit to conduct the required annual inspection. LPA was greeted and granted entry by staff. LPA met with Administrator Mark Fisk. Mark Fisk's Administrator's Certificate expires on January 27, 2026. The facility is a single story home with 7 bedrooms (1 bedroom is for staff only), 7 bathrooms, living room, kitchen, dining room and a detached two car garage. LPA and Administrator toured the facility. LPA observed the See Something, Say Something poster (PUB 475) posted in the main entry way of the facility. LPA observed the kitchen is clean and organized. There is a 2 day perishable and a 7 day non-perishable food supply on hand in the kitchen. Knives are kept locked in a kitchen drawer. The fire extinguisher in the kitchen is fully charged. Cleaning supplies and chemicals are kept locked in the closet. Medications are kept locked in a separate closet. LPA observed all 6 resident rooms have the required furnishings. LPA observed all 6 resident bedrooms are clean and organized. LPA observed that in each resident room there was an uncovered fixture mount in the ceiling. The Administrator reported that the opening in the ceiling is for a ceiling fan. Hot water measured 111.6 degrees Fahrenheit in the shared bathroom in the hallway next to the living room. Smoke detectors/carbon monoxide detectors tested operational. The last fire drill was on February 3, 2025. LPA inspected the first aid kit. The first aid kit had all the required elements. LPA and Administrator toured the garage. The garage is kept locked and used for storage. LPA and Administrator toured the backyard. No bodies of water observed. There is a patio with tables and chairs for residents to sit outside. The exit gate is operational. The Northeast side yard is taped off and undergoing renovations. The Administrator reported none of the residents go outside unassisted and no one is allowed in the side yard until the project is completed. LPA reviewed 6 resident files, no discrepancies observed. LPA reviewed all 6 resident medications. No discrepancies observed. LPA reviewed 2 staff files, no discrepancies observed. Both staff had the required training and CPR/First Aid training. Both staff are background cleared and associated to the facility. No obstacles or hazards observed inside of the facility. LPA consulted with the Administrator concerning reporting requirements. No deficiencies are being cited as a result of the visit. An exit interview was conducted and a copy of the report provided. |