Inspection Report
Monitoring
Census: 8
Deficiencies: 4
May 9, 2025
Visit Reason
The inspection was a monitoring visit to assess compliance with applicable standards and laws at the assisted living facility.
Findings
The inspection identified multiple violations including locked doors that should not be locked from the inside, unscreened windows, unsecured cleaning supplies, and maintenance issues such as torn window screens, broken blinds, and chipped drywall.
Deficiencies (4)
| Description |
|---|
| Facility failed to ensure doors leading to the outside were not locked or secured from the inside in any manner that amounts to a lock. |
| Facility failed to have an operable window effectively screened. |
| Facility failed to ensure that cleaning supplies and other hazardous materials were stored in a locked area. |
| Facility failed to keep all furnishings, fixtures, and equipment clean and in good repair and condition. |
Report Facts
Number of residents present: 8
Number of resident records reviewed: 3
Number of staff records reviewed: 2
Number of interviews conducted with staff: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jacquelyn Kabiri | Licensing Inspector | Conducted the inspection and is the current inspector |
| Staff 1 | Interviewed staff member who confirmed door lock status and window screening issues |
Inspection Report
Renewal
Census: 8
Deficiencies: 0
Feb 9, 2023
Visit Reason
The inspection was conducted as a renewal inspection to assess compliance with applicable standards and laws for the assisted living facility.
Findings
The inspection found no violations with applicable standards or laws. The licensing inspector completed a tour of the physical plant and observed residents and medication administration without issue.
Report Facts
Resident records reviewed: 6
Staff records reviewed: 3
Inspection Report
Monitoring
Census: 7
Deficiencies: 0
Sep 9, 2021
Visit Reason
A monitoring inspection was conducted starting on September 9, 2021 and concluded on September 13, 2021 to review compliance with various regulatory provisions for an assisted living facility.
Findings
The facility's fire and health inspections were current, activities met different levels of care needs, and reviews of staff and resident records including medication administration records found no violations. An exit interview was conducted.
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