Butterfly Love Residential Care Home

Type of visit: Post Licensing

Licensing Program Analyst (LPA) Pamela Bunker conducted an unannounced post-licensing visit with the primary focus on Infection Control measures and using the new CARE Inspection Tool. Upon arrival at the facility, LPA Bunker conducted a risk assessment. Based on the evaluation, the facility is clear of COVID-19 infection. LPA Bunker met Licensing Gwendolyn Craig and explained the purpose of today's Annual Inspection. LPA verified that the facility has an approved mitigation plan report and infection control plan. There are currently 3 Adult Residential Care Facility (ARF) consumers in placement. The facility's annual fees are up to date. Licensee Ms. Craig and LPA Bunker toured the facility, a two-story commercial residential facility located in a mixed-use business and residential neighborhood. The facility includes four (4) bedrooms, two (2) full bathrooms, a receptionist area, a living/family room, a dining room, an office, a kitchen, a laundry room, and a storage room. It features a shaded balcony patio and an indoor/outdoor activity area located at the rear of the building. A community parking structure is situated on the left side of the property. Three (3) exits are located in the upstairs entryway: near the dining room, the living room, and the back exit door adjacent to the laundry room. The front and backyard landscapes were in good condition. See continued LIC809-C page 2 Continued LIC809-C page 2 During the tour, LPA Bunker observed sanitizer, a visitor log, and a thermometer at the facility entrance. Logs of daily COVID-19 screening and temperature checks of clients and staff were available and updated. PPE supplies are readily available to staff, and an additional supply of PPE was observed. Sufficient liquid soap, paper goods, cleaning, and disinfecting supplies were observed. Documents are posted in the facility hallway on the bulletin board. The following Title 22 regulated areas were audited and found to be in compliance: The facility telephones are working. Bedrooms: All bedrooms meet the required standards for furniture, safety, privacy, and comfort. The facility has an adequate linen supply. Bathrooms: The bathrooms are clean and operational, and provide necessary personal accommodations with non-skid surface mats ensuring safety and privacy. Kitchen and Food Service: The kitchen is adequately equipped for food preparation and service. A review of the food service revealed an ample supply of perishable and nonperishable food, stored appropriately. Medication Storage and Management: Medications are centrally stored in a locked cabinet in the hallway with up-to-date records, ensuring proper storage and documentation. Common Areas: The Living room, dining room, and common areas are well-maintained, free of potential hazards, and meet the cleanliness standards necessary for the safety and well-being of residents. Safety Equipment and Measures: The facility is equipped with a fully stocked first aid kit with manual, functional smoke and carbon monoxide detectors, and properly charged fire extinguishers. The hot water temperature is measured at 106.2 degrees and is maintained within the standard range of 105-120 degrees Fahrenheit. Emergency Preparedness: All exit doors are in compliance, the client's bedroom windows are equipped with sliding window locks without thumbscrews, and the facility conducted a fire drill on May 16, 2025. Environmental Safety: The yard is free from debris and hazards, trash cans are covered, and no firearms or bodies of water are present on the premises. Hazardous items are kept inaccessible to clients. Staff Training: Staff members have received training on reporting dependent adult and elder abuse. Administrative Compliance: The Administrator has successfully completed the required training. The Administrator Certificate is current and expires on November 09, 2026 LPA Bunker provided Licensee Gwendolyn "Gwen" Craig with a copy of the facility evaluation reports. There were no deficiencies cited. An exit interview was conducted.the state’s words, verbatim · CDSS document, Oct 16, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Pamela Bunker conducted an unannounced required 1-year visit with the primary focus on Infection Control measures and using the new CARE Inspection Tool. Upon arrival at the facility, LPA Bunker conducted a risk assessment. Based on the evaluation, the facility is clear of COVID-19 infection. LPA Bunker met Licensing Gwendolyn "Gwen" Craig and explained the purpose of today's Annual Inspection. LPA verified that the facility has an approved mitigation plan report and infection control plan. There are currently 3 Adult Residential Care Facility (ARF) consumers in placement. The facility's annual fees are up to date. The following 12 Domains will be observed and evaluated: Infection Control, Physical Plant & Environmental Safety, Operational Requirements, Staffing, Personnel Records-Training, Client Rights-Information, Client Records-Incident Reports, Food Service, Health-Related Services, Incidental Medical Services, Disaster Preparedness, and Emergency Intervention. "LPA Bunker will be using this tool and methods that have been developed to improve the efficiency and accuracy of the Department of Social Services' facility inspections." Licensee Ms. Craig and LPA Bunker toured the facility, a two-story commercial residential facility located in a mixed-use business and residential neighborhood. The facility includes four (4) bedrooms, two (2) full bathrooms, a receptionist area, a living/family room, a dining room, an office, a kitchen, a laundry room, and a storage room. It features a shaded balcony patio and an indoor/outdoor activity area located at the rear of the building. A community parking structure is situated on the left side of the property. Three (3) exits are located in the upstairs entryway: near the dining room, the living room, and the back exit door adjacent to the laundry room. The front and backyard landscapes were in good condition. See continued LIC809-C page 2 Continued LIC809-C page 2 During the tour, LPA Bunker observed sanitizer, a visitor log, and a thermometer at the facility entrance. Logs of daily COVID-19 screening and temperature checks of clients and staff were available and updated. PPE supplies are readily available to staff, and an additional supply of PPE was observed. Sufficient liquid soap, paper goods, cleaning, and disinfecting supplies were observed. Documents are posted in the facility hallway on the bulletin board. The following Title 22 regulated areas were audited and found to be in compliance: The facility telephones are working. Bedrooms: All bedrooms meet the required standards for furniture, safety, privacy, and comfort. The facility has an adequate linen supply. Bathrooms: The bathrooms are clean and operational, and provide necessary personal accommodations with non-skid surface mats ensuring safety and privacy. Kitchen and Food Service: The kitchen is adequately equipped for food preparation and service. A review of the food service revealed an ample supply of perishable and nonperishable food, stored appropriately. Medication Storage and Management: Medications are centrally stored in a locked cabinet in the hallway with up-to-date records, ensuring proper storage and documentation. Common Areas: The Living room, dining room, and common areas are well-maintained, free of potential hazards, and meet the cleanliness standards necessary for the safety and well-being of residents. Safety Equipment and Measures: The facility is equipped with a fully stocked first aid kit with manual, functional smoke and carbon monoxide detectors, and properly charged fire extinguishers. The hot water temperature is measured at 106.2 degrees and is maintained within the standard range of 105-120 degrees Fahrenheit. Emergency Preparedness: All exit doors are in compliance, the client's bedroom windows are equipped with sliding window locks without thumbscrews, and the facility conducted a fire drill on May 16, 2025. Environmental Safety: The yard is free from debris and hazards, trash cans are covered, and no firearms or bodies of water are present on the premises. Hazardous items are kept inaccessible to clients. Staff Training: Staff members have received training on reporting dependent adult and elder abuse. Administrative Compliance: The Administrator has successfully completed the required training. The Administrator Certificate is current and expires on November 09, 2026 LPA Bunker provided Licensee Gwendolyn "Gwen" Craig with a copy of the facility evaluation reports. There were no deficiencies cited. An exit interview was conducted.the state’s words, verbatim · CDSS document, Oct 16, 2025

Type of visit: Prelicensing

Licensing Program Analyst (LPA) Pamela Bunker made an announced visit and met with Applicant Gwendolyn "Gwen" Craig to conduct a Pre-Licensing evaluation. An application was submitted to the Department of Social Service; Community Care Licensing Division (CCLD) on April 02, 2024, for an initial application for Adult Residential for ages 18-59 years. The requested capacity is for six (6) ambulatory. Structure: The facility is a two-story commercial residential facility located in a business residential neighborhood with four (4) bedrooms, two (2) full bathrooms, a receptionist area, a living/family room, a dining room, an office, kitchen, laundry room, and storage room. The facility features a shaded balcony patio and an indoor/outdoor activity area located at the rear of the building. A community parking structure is located on the left side of the property. Two (2) exits are located in the dining room, and the back exit door is near the laundry room. The front and backyard landscapes were in good condition. Residents Bedrooms: There shall be no more than two clients per one bedroom. Bedrooms #1 and #2 have two twin-size beds, a chest of drawers, a chair, a nightstand, a lamp, closets, and drawer space. Bedrooms #3 and #4 are equipped with one twin bed, two chests of dressers, two chairs, two nightstands, chest of drawers. Staff Bedroom: There will be no living staff. Bathrooms: The bathrooms have a working toilet, wash basin, and bathtub/shower. Linens & Hygiene Supplies: The required linen/supplies, including pillowcases, mattress paddings, sheets, fitted sheets, blankets, comforters, bedspreads, bath towels, hand towels, and washcloths, along with an adequate supply of linens, are stored in the hallway linen closets. Personal hygiene supplies for residents, including feminine napkins, soap, toothpaste, toothbrushes, toilet paper, hair brushes, and combs, are kept in the hallway cabinet. See continued LIC809-C page 2 Continued LIC809-C page #2 Emergency Phone Numbers, Exit Plan, & Menu: Emergency numbers are posted and readily available for review in the hallway on the wall bulletin board. The facility has a landline telephone located in the office and receptionist area. Two (2) fully charged fire extinguishers are located in the kitchen and hallway. Food Service: Dishes, cups, and flatware are stored in the kitchen cupboards, inspected, and in good repair, knives, cutlery, and other sharp kitchen utensils will be stored locked in a drawer located in the kitchen. Smoke/Carbon Monoxide Detectors: There are hardwire battery backup smoke alarms and carbon monoxide detectors located in the living room, hallway, dining room, kitchen, bedrooms, and laundry room, which are operational. Appliances: Refrigerator, stove/oven, microwave, Keurig coffee maker, and washer/dryer are installed and all are in working condition. There is central air and heat throughout the facility. The hot water heater is outside located in the back of the house on the left side never the kitchen. Toxins: Cleaning supplies and toxins will be stored locked in a separate cabinet located in the laundry room only accessible to staff. Water Temperature: The hot water tested in the kitchen temperature was tested at 113 degrees Fahrenheit within the normal limits (105-120F degrees). Medication, First-Aid Kit & Manual: Centrally stored medications will be secured in a locked cabinet adjacent to the office, near the kitchen in the hallway. There are sufficient bandages, tweezers, thermometers, scissors, and first aid kits with manual. Staff & Clients Files: All staff and resident records will be kept confidential and securely stored in a locked cabinet within the office. The applicant will not be responsible for managing residents' cash resources. Pools/Jacuzzi & Pets: No bodies of water and no pets on these premises. Fire Clearance: Fire clearance was approved on July 03, 2024. The facility yard is free of debris and hazards. See continued LIC809-C page 3 Continued LIC809-C page #3 Component III Orientation: Component III was completed with the Applicant Gwendolyn "Gwen" Craig during the Pre-Licensing visit. Information was provided on how to operate the facility in substantial compliance with regulations. When asked about her understanding of Title 22 regulations, the applicant affirmed her comprehension. LPA will submit a copy of this facility evaluation report to the Central Applications Unit (CAU) for review. Should the applicant have any questions regarding the status of the application, she has been instructed to contact the CAU analyst assigned to her application. An exit interview was conducted, and a copy of this report was provided to the applicant.the state’s words, verbatim · CDSS document, Oct 8, 2024