Inspection Report
Annual Inspection
Census: 4
Capacity: 6
Deficiencies: 0
Dec 5, 2024
Visit Reason
The visit was an unannounced one-year inspection conducted to evaluate compliance with licensing requirements for the facility.
Findings
The facility was found to be in full compliance with no deficiencies observed. All areas including resident bedrooms, bathrooms, kitchen, and common areas met regulatory standards, and safety equipment was operational.
Report Facts
Residents non-ambulatory: 4
Residents bedridden: 2
Residents with dementia: 2
Residents receiving hospice care: 1
Resident bedrooms: 6
Full bathrooms: 7
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Nawal Sfeir | Administrator | Met with Licensing Program Analyst during inspection and exit interview |
| Sparkle Day | Licensing Program Analyst | Conducted the unannounced inspection visit |
| Janae Hammond | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Annual Inspection
Census: 5
Capacity: 6
Deficiencies: 1
Dec 29, 2023
Visit Reason
An unannounced required 1-year annual inspection was conducted to assess compliance with licensing regulations and facility conditions.
Findings
The facility was found to be generally compliant with regulations, including adequate staffing, proper medication storage, and safety measures. However, deficiencies were observed during the inspection, including a missing stove knob.
Deficiencies (1)
| Description |
|---|
| The stove is missing a knob. |
Report Facts
Residents in care: 5
Staff present: 3
Bedrooms: 6
Bathrooms: 6.5
Staff member files reviewed: 6
Resident records reviewed: 5
Emergency drill date: Jun 20, 2023
Liability insurance expiration: Jun 13, 2024
Residents non-ambulatory: 3
Residents with dementia: 3
Residents in hospice: 1
Water temperature range: 111.9
Water temperature range: 115
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| David España | Licensing Program Analyst | Conducted the inspection and authored the report |
| Nawal Sfeir | House Manager / Business Manager | Met with Licensing Program Analyst during inspection and participated in exit interview |
Inspection Report
Annual Inspection
Census: 6
Capacity: 6
Deficiencies: 2
Nov 9, 2022
Visit Reason
The visit was an unannounced annual required inspection conducted by Licensing Program Analyst Wendy Gibbs to evaluate compliance with licensing regulations.
Findings
The facility was generally found to be in good condition with all required documentation and safety measures in place. However, deficiencies were cited for missing oxygen signs outside rooms in use and a broken stove knob that prevented all burners from turning on.
Deficiencies (2)
| Description |
|---|
| Oxygen signs not posted outside of the rooms in use. |
| Broken knob on the stove; all burners need to be able to turn on. |
Report Facts
Residents present: 6
Staff present: 3
Non-ambulatory residents: 3
Residents with dementia: 3
Residents on hospice: 2
Bedrooms: 6
Bathrooms: 6.5
Water temperature range: 111.9
Water temperature range: 115
Kitchen sink water temperature: 110.9
Last emergency drill date: Nov 1, 2022
Liability insurance expiration: Feb 19, 2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Wendy Gibbs | Licensing Program Analyst | Conducted the inspection and cited deficiencies |
| Nawal Sfeir | House Manager | Met with LPA during inspection and participated in exit interview |
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