Geyser Home

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Mariana Agban conducted an unannounced Annual Required visit and inspection of the facility. LPA arrived at the facility at 10:50 AM and rang the doorbell. Through the glass door, LPA observed that the facility was undergoing renovations and that no residents were present at the time of the visit.LPA contacted and met with the Administrator, Editha Tagum. At approximately 11:15 AM, with the Administrator’s assistance, LPA conducted a tour of the physical plant.LPA observed that the facility floors were covered with red rosin paper due to ongoing renovations. Required postings were observed in the dining area. Functional smoke alarms and carbon monoxide detectors were present throughout the facility. LPA observed a fire extinguisher with a purchase date of 05/18/2026.LPA observed the kitchen to be clean and all kitchen appliances to be functional. Knives were stored in a locked drawer in the kitchen.Bedrooms: There are six (6) bedrooms in the facility. Five (5) bedrooms are designated for resident use, and one (1) bedroom is designated for staff use. All bedrooms were furnished with appropriate bedding and linens and had sufficient lighting. LPA observed that Bedrooms #2, #3, and #4 had open ceilings due to ongoing ceiling repairs.Bathrooms:There are three (3) bathrooms designated for resident use. Due to the renovations, the facility water supply was temporarily shut off; therefore, LPA was unable to measure the hot water temperature at the time of the visit.Common Areas:The common areas included the living room and dining area, both of which were properly furnished. The auditory alarms on all exit doors were operational and functioning at the time of the visit. The dining room table was sufficient to accommodate the licensed capacity of the facility. Seating, including couches, was observed to be in good repair and adequate for the facility’s capacity.(Continue on 809C) Surrounding Grounds: Outdoor furniture appropriate for resident use was observed. The facility has a swimming pool that is fenced around its entire perimeter. The fence was observed to be at least five feet high, with a gate of equal height. The gate was locked at the time of the visit. LPA also observed old patio furniture on the grounds. Garage/Laundry Area: LPA observed that the garage was being used for storage. The washer and dryer were also observed. Staff Files: LPA conducted a review of the Administrator’s file to ensure required forms, certifications, and training documents were current and in compliance with licensing requirements. Temperature: The facility’s air conditioning system is currently under renovation. There were no deficiencies observed during the visit. Exit Interview Conducted and a Copy of the Report Issued.the state’s words, verbatim · CDSS document, May 18, 2026

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Mariana Agban conducted an announced Annual Required visit and inspection of the facility. The facility is currently under renovation, and there were no residents present. LPA met with Administrator Editha Tagum, and at approximately 12:20 p.m., with the Administrator's assistance, LPA took a tour of the physical plant. Required postings were observed in the dining area. There are functional smoke alarms and carbon monoxide detectors. LPA observed the kitchen to be clean, and the kitchen appliances are functional. Knives were stored in a locked drawer in the kitchen. Bedrooms: There are six (6) bedrooms in the facility. Five (5) bedrooms are designated for residents' use and one (1) is designated for the staff. All bedrooms were furnished with appropriate bedding and linens, and had sufficient lighting. Bathrooms: There are three(3) bathrooms designated for residents' use. The facility had water shut down due to the renovations, and thus LPA was unable to measure the hot water temperature. Common Areas: These included the living room and dining area. The common areas were properly furnished. The auditory alarms on all exit doors were on and functional at the time of the visit. The dining room table is large enough to seat the capacity of the facility. Seating, such as couches, where in good repair and seats the capacity of the facility. Surrounding Grounds: There was furniture appropriate for outdoor use. There is a swimming pool that is fenced all around its perimeter. The fence was at least five feet high with a gate that was also five feet high. Gate was observed locked. LPA observed old furniture and other storage boxes in the backyard. Garage/ Laundry area: LPA observed the garage to be used as storage. LPA also observed the washer and dryer. Staff Files: LPA conducted a file review of the Administrator to ensure forms and training are up to date and in compliance with licensing forms. Temperature: Facility Air conditioning system is currently under renovation. There were no deficiencies observed during the visit. Exit Interview Conducted and a Copy of the Report Issued.the state’s words, verbatim · CDSS document, Jul 21, 2025

Type of visit: Required - 1 Year

At 10:30 a.m on 04/24/2024, Licensing Program Analyst (LPA) Nicholas Reed conducted an unannounced annual inspection. LPA met with staff and later the administrator and disclosed the reason for the visit. LPA and staff toured the facility inside and out at 10:35 a.m. The facility was last visited on 04/04/2022 for an annual inspection. It is a single-story building with six (06) bedrooms, three (03) bathrooms, kitchen, garage, common areas, and outdoor areas. It has an approved fire clearance for six (06) bedridden residents. The facility serves residents with dementia. Approved hospice waivers for two (02). Surveillance cameras used in common areas and the back yard. At the main entrance, LPA observed a maintained front yard. Once inside, LPA was screened for infectious disease. The screening station contained a digital thermometer, hand sanitizer, and a visitor log. Postings were observed at the front for confidential complaint contacts, Ombudsman contacts, facility license, facility sketch, house rules, personal rights, emergency disaster plan, and activities. The facility has six (06) bedrooms. One (01) bedroom is designated as a staff room. The staff room was free of hazards. All bedrooms contained a chair, lamp, nightstand, storage, and a bed with adequate bedding. All furnishings were clean and in good condition. Bedroom #1 contained a resident with an oxygen machine and half-bed rails. A sign stating “No Smoking – Oxygen in use” was posted at the door. A sufficient supply of extra linens were located in a hallway storage area. The facility has three (03) bathrooms. Resident bathrooms contained liquid soap, paper towels, handwashing instruction sign, trash can with a tight fitting lid, grab bars near the toilet and shower, and a non-skid mat in the shower. At approximately 10:45 a.m. LPA measured the water temperature in the southwest bathroom to be 105.0 degrees Fahrenheit. Walls, floors, windows, screens, and blinds were clean and in good repair. At 10:55 a.m. LPA measured the room temperature to be 70 degrees Fahrenheit. Board games, art supplies, television, reading material, and furniture in good repair were all observed in the living room. A fireplace was appropriately covered. At approximately 11:00 a.m., smoke and carbon monoxide detectors were tested and operational. Smoke detectors were hard-wired and functioned simultaneously when tested. LPA called the house telephone at 11:05 a.m. and verified it was working. At approximately 11:10 a.m. LPA observed a fully charged fire extinguisher in the kitchen. It was last inspected on 04/02/2024. LPA observed an adequate supply of perishable and non-perishable foods in the kitchen. The stove hood was clean. Appliances were in good condition. At 11:15 a.m. LPA measured the refrigerator and freezer temperatures to be 37 and 0 degrees Fahrenheit, respectively. Sharps and cleaning solutions were locked below the counter top. Medications were locked above the counter. A washing machine and dryer were located in the garage. Both were in working order. The garage was locked and inaccessible to clients. It also contained emergency water supplies, assistive equipment, and other supplies. LPA observed a covered patio area in the rear of the facility. The patio contained shaded furniture in good condition. The emergency exit paths were free from obstructions. The exit gate was unlocked. Auditory alarms were turned on and functioning. Fire sprinklers were observed throughout the home. The pool was surrounded by a gate and locked. At 11:30 a.m. LPA conducted a record review of resident and personnel files. During today's inspection, the facility was in compliance with Title 22 regulations. No immediate health and safety risks were observed. Exit interview conducted. Copy of report provided.the state’s words, verbatim · CDSS document, Apr 24, 2024