Cherish House Retreat

Type of visit: Required - 1 Year

At 9:50am, on March 5, 2026, Licensing Program Analyst (LPA) Haner-Tomasko arrived at the facility unannounced to conduct the annual facility inspection. LPA met with backup administrator Michelle Latham, announced who he was and the reason for the visit. Backup administrator and LPA conducted a full tour of the facility. This facility is a two story residential home with six resident bedrooms (two are dual occupancy) and four full bathrooms (three are en suite and one is for public use). On the ground floor are four of the resident bedrooms, a kitchen, medication room, and a living room with seating, TV, dining space, and self-contained fireplace for resident safety. There are two additional resident bedrooms downstairs, accessible via an elevator/lift to the living room and two outdoor routes, one of which is a wheelchair accessible ramp to the front of the facility. The laundry area is in a locking shed in the backyard. LPA noted that the backyard and a patio off the living room both have seating and shade for residents and visitors. LPA noted fresh fruit and snacks in the kitchen for residents to enjoy. The facility has battery operated smoke detectors in each room that are all working, there is a carbon monoxide detector on each floor functioning normally. LPA observed fire extinguishers throughout the facility, serviced on 9/30/2025. LPA observed at least 2-days of perishable and at least 7-days of nonperishable foods. LPA noted that the facility is in good repair with no obstructions in hallways, doorways or exits. Medications are locked in a closet. LPA conducted a sample medication audit and reviewed the facilities Centrally Stored Medication Records, finding no violations. LPA conducted a staff and resident file review. LPA and backup administrator conducted a review of the annual care tool modules. There were no deficiencies cited at this time. Exit interview conducted, report signed, and report provided to backup administrator.the state’s words, verbatim · CDSS document, Mar 5, 2026

The state marks this report as 7 pages; the online copy we transcribed has 2. You can request the full file from the county licensing office.

Allegation investigated: RSO who is not a client allegedly resides, is present and/or has contact that may pose a risk to the health and safety of clients in care.

On 07/24/2025 at 9:05am Licensing Program Analyst (LPA) Haner-Tomasko arrived unannounced at the facility to investigate the allegation to this complaint. LPA met with Backup Administrator Michelle Latham and explained the purpose of the visit. Allegation: Registered Sex Offender who is not a client allegedly resides, is present and/or has contact that may pose a risk to the health and safety of clients in care. Licensing Program Analyst (LPA) Haner-Tomasko conducted an unannounced complaint visit to issue final findings. Investigations Branch (IB) Investigator Lomeli conducted this investigation on 7/21/2025. (Continued on LIC9099-C) Unfounded This agency has investigated the complaint alleging a Registered Sex Offender (RSO) is in care at a licensed facility or resource family home or has presence/contact that may pose a risk to the health and safety of the client(s) in care at a licensed facility or resource family home. The Department has found that the complaint was Unfounded, meaning that the allegation was false, could not have happened and/or is without a reasonable basis. We have therefore dismissed the complaint. Exit interview, copy of report given.the state’s words, verbatim · CDSS document, Jul 24, 2025 · control 29-AS-20250721130208

Type of visit: Required - 1 Year

On 3/12/2025 at 09:40am, Licensing Program Analysts (LPA) Haner-Tomasko and De Leon arrived to conducted a one year annual visit to the facility above. LPA met with Backup Administrator Michelle Latham and explained the purpose of the visit. A tour of the inside and outside of the facility was conducted. The following was inspected and noted during the annual visit: Physical Plant & Environment Safety: The facility is a 6 bedroom and 4-bathroom home currently occupying 8 resident, employs 5 staff and 2 Administrators. One common area restroom, a jack and jill style restroom between two of the bedrooms and 2 private in suite bathrooms. The kitchen is clean, safe and sanitary. Toilet, hand washing and bathing facilities are operational and secured grab bars are present. The showers have non-skid mats. The pathways are clear of any obstructions. The facility has smoke and carbon monoxide detectors. Facility is well lit inside and outside for safety. The lighting and lamps are sufficient for the use of the facility and for resident comfort. The facility has sufficient space inside and outside for activities and visiting. The facility has a fenced backyard for resident use with plenty of shade. The facility has telephone and internet service for resident use. Activities: During the visit LPA observed residents actively involved in facility activities (singing, watching TV, exercising, art). A musician played a flute for the residents. An activity calendar is displayed in the great room. (Continued LIC809-C) Infection Control: The facility has a current Infection Control Plan. The facility has a sign in and out binders for visitors at entry with hand sanitizer. The bathrooms have toilet paper, paper towels, hand soap, and hand washing signs. The facility has EPA approved disinfectants spray and cleaners. All trash cans and wastebaskets have tight fitting covers. Operational Requirements: The facility has a current plan of operation on file with the department. The Facility is operating in compliance with the granted fire clearance. The facility has current liability insurance and expires on 07/17/2025. The facility is approved for a capacity of 8. The fire clearance is granted for 8 Non-Ambulatory of which 4 may be bedridden. Hospice is approved for 4. Staffing: Staff records are kept confidential. Files reviewed had current 1st Aid/CPR, Personnel Records/Application, Health screening, and fingerprint clearance/Associations/exemptions. Administrator Certificate expires 09/30/2026. Personnel Records & Training: Facility keeps records confidentially. Fire and Disaster drills are conducted quarterly. Facility staff have current First Aid and CPR training with valid certificates. Resident Records & Incident Reports: The facility keeps separate files on each resident confidentially. LPAs reviewed resident file for signed Admission Agreements, Personal Rights, Safeguard for property and valuables, LIC. 602A Physicians report, Pre-appraisals, Emergency and ID forms, all forms were legible, and records are kept confidential. Food Service: LPA observed 2-days perishables and 7-days non-perishables to meet the food service requirement. All food is covered, stored and marked appropriately. Food, snacks and drinks are available when the residents want them. Emergency supply of food and water is available. Cleaning solutions and equipment are stored separately from food supplies. (Continued LIC809-C) Incidental Medical Services: Facility provides transportation or assist in providing transportation to medical and dental appointments when needed. LPA reviewed centrally stored medication records. Medications were kept in the original containers. While visiting LPAs observed Home Health personnel and the visiting physician reviewing resident care. Disaster Preparedness: The current emergency disaster forms were posted. The facility conducts quarterly disaster drills. The fire extinguishers were last inspected on 09/2024. Emergency exits and telephone numbers were posted. A set of keys is available for staff on all shifts to access full facility in an emergency. Residents with Special Health Needs: The facility does accept dementia residents in care. The facility does not currently have residents with oxygen. The facility has 3 resident currently on hospice. The facility has 2 residents receiving Home Health services. Hospice and Home Health plans are kept up to date and on file. Hospice and Home Health train staff on residents care. The facility does not have delayed egress or locked doors. The facility has exiting door alarms. LPA interviewed 2 staff working at the facility and 2 residents. Exit interview conducted, deficiencies cited, copy of report and appeal rights printed for Administrator.the state’s words, verbatim · CDSS document, Mar 12, 2025

The state marks this report as 10 pages; the online copy we transcribed has 5. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) De Leon arrived at 10:00 am to conducted a 1 year annual visit to the facility above. LPA met with Administrator Michelle Latham and explained the purpose of the visit. A tour of the inside and outside of the facility was conducted. The following was inspected and noted during the annual visit: Infection Control: The facility has a current Infection Control Plan. The facility has a sign in and out binders for visitors at entry with hand sanitizer. The bathrooms have toilet paper, paper towels, hand soap, and hand washing signs. The facility has EPA approved disinfectants spray and cleaners. The facility has a 30 day supply of PPE. Quarantined or isolated individuals will have meals and medication delivered to rooms. Staff are trained on infection control and the use of Personal Protective Equipment (PPE). All trash cans and wastebaskets have tight fitting covers. Physical Plant & Environment Safety: The facility is a 6 bedroom and 4 bathrooms currently occupying 8 resident and employs 7 staff and 2 Administrator. LPA was authorized to enter and inspect facility. The facility has smoke and carbon monoxide detectors. The lighting and lamps are sufficient for the use of the facility and for resident comfort. The kitchen is clean, safe and sanitary. Toilet, hand washing and bathing facilities are operational and secured grab bars are present. The showers have non-skid mats. The pathways are clear of any obstructions. Facility is well lit inside and outside for safety. Disinfectant, cleaning solutions and poisons are inaccessible to residents in care locked under sink in kitchen and locked laundry room. The facility has sufficient space inside and outside for activities and visiting. The facility has an fenced backyard for resident use with plenty of shade. The facility has telephone and internet service for resident use. Continued 809-C Operational Requirements: The facility has a current plan of operation on file with the department. The Facility is operating in compliance with the granted fire clearance. The facility has current liability insurance and expires on 07/17/2024. The facility is approved for a capacity of 8. The fire clearance is granted for 8 Non-Ambulatory of which 4 may be bedridden. Hospice is approved for 4. Staffing: The facility currently employes 7 staff and 2 Administrators. Staff records are kept confidential. Files reviewed had current 1st Aid/CPR, Personnel Records/Application, Health screening with TB results, and Finger print clearance/Associations/exemptions. Administrator file was reviewed for Continuing Education requirements and current Administrator Certificate. Administrator Certificate expires 09/22/2025. Personnel Records & Training: Facility keeps records confidentially. The facility is currently in the process of completing required annual training. Fire and Disaster drills are conducted quarterly. Facility staff have current First Aid and CPR training with valid certificates. Food Handlers certificates are valid. Resident Records & Incident Reports: The facility keeps separate files on each resident confidentially. Facility does submit incident reports to the department when required. LPA reviewed resident file for signed Admission Agreements, Personal Rights, Safeguard for property and valuables, LIC. 602A Physicians report, Pre-appraisals, Appraisals Needs and Services Plan, Emergency and ID forms, all forms were legible and records are kept confidential. Food Service: The facility handles and prepares food safely. The facility has 2 day perishables and 7 day non-perishables to meet the food service requirement. The freezer is kept at 0 degrees and the refrigeration is kept at 40 degrees or lower. All food is covered, stored and marked appropriately. Food, snacks and drinks are available when the residents want them. Emergency supply of food and water is available. Cleaning solutions and equipment are stored separately from food supplies. Kitchen staff are observed for personal hygiene and food sanitation practices. Continued 809-C Incidental Medical Services: Facility provides transportation or assist in providing transportation to medical and dental appointments when needed. The facility uses the Medication Administration Record (MAR) along with the Centrally Stored Medication and Destruct Records (CSMDR). LPA reviewed residents medications. Medications were kept in the original containers. Administrator and 1 staff person review medications for destruction, complete forms and take to the pharmacy to be destroyed or destroy on the premises. Disaster Preparedness: The current emergency disaster forms were posted. The facility conducts quarterly disaster drills. The fire extinguishers was charged and last inspected on 09/18/2023. Emergency exits and telephone numbers were posted. A set of keys is available for staff on all shifts to access full facility in an emergency. Residents with Special Health Needs: The facility does accept dementia residents in care. All items that could pose a danger, sharps, cleaners were locked or in accessible to residents in care. The facility gates are self closing and self latching. The facility does not currently have residents with oxygen. The facility has 4 resident currently on hospice. The facility has 2 residents receiving Home Health services. Hospice and Home Health plans are kept up to date and on file. Hospice and Home Health train staff on residents care. The facility does not have delayed egress, locked doors or gates. The facility has exiting door alarms. LPA interviewed 2 staff working at the facility and Residents were a sleep or out in the community or on hospice services. Exit interview conducted and copy of report printed for Administrator.the state’s words, verbatim · CDSS document, Mar 27, 2024

The state marks this report as 16 pages; the online copy we transcribed has 3. You can request the full file from the county licensing office.