Phyllis' Care Home

Type of visit: Required - 1 Year

On 07/28/2026 Licensing Program Analyst (LPA) Cheyenne Ratajczak arrived at the facility unannounced to conduct a Required 1 year annual inspection. LPA met with Administrator Alina Jar and explained the purpose of the visit. LPA and Administrator toured the interior and exterior of the facility. Areas toured include but are not limited to: common areas, residents' bedrooms, bathrooms, kitchen and backyard. LPA observed required furniture, and lighting throughout the residents' bedrooms and facility. LPA observed residents' bathrooms to be clean, sanitary, and in good repair. LPA observed food supplies of non-perishables for a minimum of seven (7) days and perishable foods for a minimum of two (2) days. Toxins and cleaning supplies are locked and inaccessible to residents in care. The hot water temperature was measured in the kitchen at 106.5 degrees Fahrenheit. LPA observed fire detectors and carbon monoxide alarms to be operable. The fire extinguisher was last serviced on 06/29/2026. LPA observed medications to be inaccessible to residents in care. LPA reviewed four (4) resident files. LPA reviewed two (2) staff files. A review of staff records indicates that all facility staff has received criminal record clearances and/or are associated to this facility. No deficiencies being cited during today's inspection. Exit interview conducted and report providedthe state’s words, verbatim · CDSS document, Jul 28, 2026

Type of visit: Required - 1 Year

On 08/06/2025 Regional Manager (RM) Alycia Rayner and Licensing Program Analyst (LPA) Cheyenne Ratajczak arrived at the facility unannounced to conduct a Required 1 year annual inspection. RM and LPA met with Administrator Alina Jar and explained the purpose of the visit. RM, LPA and Administrator conducted a tour of the interior and exterior of the facility. Areas toured included but not limited to: residents room, bathrooms, kitchen, storage area, and the common areas. LPA observed the facility to have two (2) days of perishable and seven (7) days of nonperishable foods. LPA and RM observed knives to be unlocked and accessible to residents in care. LPA and RM observed an open and unlocked storage shed which contained bleach in the backyard accessible to residents. LPA and RM observed medications unlocked in the fridge outside. LPA conducted a file review of personnel and residents records. LPA observed personnel files to be incomplete. Staff had less than twenty (20) hours of annual training. Two personnel files were incomplete and missing Personnel record (LIC501) and Health Screening (LIC503). LPA completed the full care tool and deficiencies was observed. Please see LIC 809-D. Exit interview conducted and a copy of the report and appeal rights was provided.the state’s words, verbatim · CDSS document, Aug 6, 2025

The state marks this report as 7 pages; the online copy we transcribed has 4. You can request the full file from the county licensing office.

Type of visit: Case Management - Health Checks

Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to conduct a case management inspection following receipt of a report that the air conditioning (A/C) unit was not functioning properly. LPA met with Alina Jar, Administrator and Dan Jar, caregiver, and stated the reason for today's inspection. LPA was informed that the Ombudsman had just conducted an inspection also. LPA observed (2) residents resting in the common area and (1) resident resting in her room. LPA observed the A/C unit to be operating from the garage window outside, near the front entrance. LPA observed the inside temperature to feel comfortable and the thermostat showed 75*F. LPA was informed that 9-10 days ago, the A/C unit was not functioning optimally, and so the Administrator reached out to the company that handles the maintenance on the warranty, but an appointment was not able to be scheduled until 7/18/24. The Administrator contacted a friend who inspected the A/C unit on 7/10/24 and serviced the unit, which included cleaning a coil and repairing a leak. During the week the unit was not working optimally, multiple fans were used throughout the care home, and continue to be used, to ensure the inside temperatures remained in compliance (68*-85*F) and no more than 30*F from the outside temperature. Regulation 87303 Maintenance and Operation was discussed to ensure its understanding. LPA toured the facility and observed all rooms to be cool and comfortable, with the common areas the coolest. One resident, who was awake, stated to LPA she has been comfortable with the inside temperatures these past 10 days, and was observed to be using a blanket in her recliner chair. LPA contacted Licensing Program Manager to let her know there do not appear to any concerns at this time, which is in agreement with the Ombudsman's inspection from today. The Administrator agreed to follow up with her assigned LPA next week on 7/18/24. There are no deficiencies cited in this report. Exit interview. Copy of report provided to the Administrator.the state’s words, verbatim · CDSS document, Jul 12, 2024

Type of visit: Required - 1 Year

On 07/01/24 Licensing Program Analyst (LPA) Cheyenne Ratajczak arrived at the facility unannounced to conduct a Required 1 year annual inspection. LPA met with Administrator Alina Jar and explained the purpose of the visit. LPA and Administrator toured the interior and exterior. Areas toured include but are not limited to: common areas, residents' bedrooms, bathrooms, kitchen, garage and backyard. LPA observed required furniture, and lighting throughout the residents' bedrooms and facility. LPA observed residents' bathrooms to be clean, sanitary, and in good repair. LPA observed food supplies of non-perishables for a minimum of seven (7) days and perishable foods for a minimum of two (2) days. Toxic and cleaning supplies locked and inaccessible to residents in care. The hot water temperature was measured in the kitchen at 118.8 degrees Fahrenheit. The temperature in the facility was 78 degrees Fahrenheit. First aid kit was completed. LPA observed fire detectors and carbon monoxide alarms to be operable. The fire extinguisher was last serviced on 10/17/2023. LPA observed medications to be locked and inaccessible to residents in care. LPA reviewed four (4) resident file and two (2) staff files all files contained the required documents. LPA requested Administrator to send updated copies of the following by 07/08/24 to LPA LIC308- Designation of Administrative Responsibility Liability insurance LIC500- Personnel Report Administrator Certificate No deficiencies being cited during today's inspection. Exit interview conducted and report providedthe state’s words, verbatim · CDSS document, Jul 1, 2024