Aunt Dottie's Place

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Sabrina Calzada arrived at the facility unannounced to conduct a Required-1 Year Inspection utilizing the full inspection care tool. LPA met with Lisa Neil, caregiver, who contacted Selam Kidane, Administrator, who arrived at the facility shortly. LPA explained the purpose of today's inspection. LPA observed (3) residents in the common areas and (2) residents in their rooms at the start of the inspection. Currently, there is (1) resident on hospice. LPA and Administrator toured the interior and exterior of the facility including the common areas, (6) private resident bedrooms, (2) resident bathrooms, staff room, kitchen, laundry and garage. LPA observed the facility to be clean, in good repair and odor-free. LPA observed each bathroom to have the necessary grab bars, non-skid flooring, paper towels, trash can with lid and 20-second hand-washing poster. LPA observed sufficient 2+day perishable and 7+day non-perishable supply of food in the kitchen. Sharps are locked with the medications in a designated closet, and all toxins are locked in the laundry area. LPA observed sufficient PPE/incontinent supplies and linens/towels/blankets. The inside temperature measured 79*F and the water heater is set at 120*F. The fire extinguisher was last serviced 11/13/22 and fire to conduct their annual inspection this month. There is additional food and emergency supplies in the garage. (1) smoke/monoxide alarm was tested and found to be working correctly. Facility conducts quarterly emergency drills. There is (1) unlocked outside gate and a covered patio dining set. LPA reviewed (2) of (5) resident files and found them to be complete and current. LPA and Administrator reviewed ordered medications to those being administered for (1) resident and found no discrepancies. LPA reviewed (2) staff files and found them to contain current training documentation, including First Aid/CPR certification. RCFE Administrator certificate #6060726740- posted- exp 10/23/23. Administrator is in the process of renewing it. LPA observed all required postings to be posted and the Emergency Disaster Plan and Infection Control Plan to be readily available for staff in binders. All staff are cleared and associated to the facility. An updated copy of liability insurance was obtained (exp 4/28/24). LPA requested an updated copy of LIC308 and LIC500 be sent to the Department by 7/18/23. There are no citations issued. Exit interview. Copy of report provided to Administrators.the state’s words, verbatim · CDSS document, Jul 11, 2023

Type of visit: Prelicensing

Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to conduct a pre-licensing inspection for a change in ownership. LPA met with Selam Kidane, Administrator, and explained purpose of inspection. Debi Stryker, Administrator arrived to the facility at approximately 1:00 pm. LPA observed (5) residents to be eating lunch in the common area and (1) resident to be resting in her room at the start of the inspection. The facility is currently licensed for (6) non-ambulatory residents and has a hospice waiver for (6) residents. Currently, there are (3) residents on hospice. Prior to initiating today's inspection, LPA completed required COVID-19 testing protocols and confirmed the facility does not currently have any positive Covid-19 diagnoses. LPA was screened per Covid-19 precautionary measures upon entering the facility. and the following Personal Protective Equipment (PPE) was worn: surgical mask. Also conducted today was an annual inspection for the current license. LPA and Administrator Selam Kidane toured the interior and exterior of the facility including the common areas, resident bedrooms, resident bathrooms (4), kitchen, staff room and laundry. LPA observed the facility to be clean, in good repair and to have sufficient furniture and lighting. LPA observed the bathrooms to have the necessary grab bars, non-skid flooring, paper towels and hand-washing posters. LPA observed sufficient 2+day perishable and 7+day non-perishable supply of food, locked sharps and medications in the kitchen and locked toxins in the laundry room. LPA observed the inside temperature to be 78*F. Fire extinguisher was last serviced on 11/3/2021. Alarms on all exit doors and .LPA observed the exterior gate to be unlocked from the inside.. Discussed vaccination status of residents/staff, eligibility for boosters and visitation protocols.. There is a facility van on site that is current with vehicle maintenance and insurance. Facility has emergency supply kits on site. LPA discussed the previously issued notice to residents regarding ownership change and resident paperwork to be completed upon ownership change. LPA discussed topics on Pre-Licensing Facility Evaluation Checklist. Component III was reviewed during today’s inspection. It appears the facility is in substantial compliance and there are no deficiencies being noted today. Exit interview done. Copy of report provided to Administrator.the state’s words, verbatim · CDSS document, Jul 25, 2022