Facility Overview: The facility is a one story home with five bedrooms for residents, one bedroom for staff and three bathrooms, including an attached garage. There are no pools in the premises.

Infection Control: LPA and LPM observed that hygiene and cleaning supplies were available for regular facility maintenance. The facility’s infection control plan was reviewed and found to meet department requirements.

Physical Plant: The physical plant, including floors, windows, and doors, was clean and well maintained. Fixtures and furniture were in good repair. The outdoor area was free of hazards. Laundry equipment was in good working condition. Sharp and dangerous objects were securely locked and inaccessible to residents. According to the Administrator there are no firearms kept in the facility. Both the smoke detector and carbon monoxide detector were operational, and the hot water temperature was 119.8 F in the bathrooms the residents is utilizing. Fire extinguishers are in working order, last service date 11/26/2024.

Continue to LIC809C

Food Service: The facility’s kitchen was clean and equipped to prepare food. The facility maintained the required two-day supply of perishable foods and a seven-day supply of non-perishable foods.

Care & Supervision/Administration: Adequate staff were present to supervise clients during the visit. The administrator holds a current administrator’s certificate valid until 4/8/25.

Record Review and Resident/Staff Files: LPA reviewed files for two staff members, confirming criminal clearances, updated training, and CPR/First Aid certification. Four resident files were reviewed and contained all required documentation.

Health-Related Services/Incidental Medical Services: All resident medications were securely locked. LPA reviewed medications for four residents, confirming that all medications were listed on the Medication Administration Record (MAR) and accounted for.

Disaster Preparedness: LPA reviewed the facility’s emergency and disaster plan. All facility exits were clear of obstructions.

No deficiencies will be cited during the visit. An exit interview was conducted, during which this report was reviewed and provided to Administrator Sameh Awad.