Chateau Rose

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) De Leon conducted a 1 year Annual visit. LPA met with Jessica Bailey back up Administrator and explained the purpose of the visit. LPA De Leon met Administrator at Centralized location for the Rose Group to conduct the file review for the residents and staff. Staffing: The facility currently employs 8 staff and 2 Administrators. Staff records are kept confidential. The 5 files reviewed had current 1st Aid/CPR, Personnel Records/Application, Health screening with TB results, and Criminal Record statements. Administrator Certificates expire 10/10/2028 & 03/22/2028. Personnel Records & Training: The facility keeps confidential files for each staff member. Staff had 20 hours of annual training completed for all subjects/topics and hours for 2026. Newly hired staff have 40 plus hours of initial training for 2026. Training records are up to date. 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 5 resident files for signed Admission Agreements, Personal Rights, Safeguard for property and valuables, Physician’s reports Pre-appraisals, Appraisals Needs and Services Plan, and Emergency and ID forms, all forms were legible and records are kept confidential. LPA will return at a later date to complete the annual visit. Exit interview conducted and copy of report printed for Backup Administrator.the state’s words, verbatim · CDSS document, Jul 17, 2026

Type of visit: Case Management - Annual Continuation

Licensing Program Analyst (LPA) De Leon made an unannounced Case Management Continuation Annual visit to the facility listed above. LPA met with Rachelle Tellez, Back up Administrator and explained the purpose of the visit. A tour of the physical plant was assessed, and the following was noted: Resident Rights & Information: LPA observed the license posted, Complaint Poster, Bill of Rights and Right to Residential Council, non-discrimination statement, and resident rights off the entry in the hall near kitchen. Infection Control: The facility has an infection control plan on file. The facility has PPE supplies and trains staff upon hire and annually thereafter. Medications and meals can be delivered to rooms when and if needed. Operational Requirements: The Facility is operating in compliance with the fire clearance. The facility has a license for 6 Non-Ambulatory which 1 may be bedridden in room 3. The facility provided current up to date liability insurance. All Dementia requirements are being met. Hospice wavier granted for 3. Planned Activities: Living room, dining room, and outside area with sufficient space for activities and visiting. The facility has games, magazines, book and planned activities with residents in care. Residents take part in any activity they want to. Food Service: The kitchen and pantry were sufficiently stocked with two day perishable and seven day non-perishables. Foods are properly wrapped and stored appropriately. Food storage and preparation areas are clean and inaccessible to pests. Emergency supply of food and water is available. Garbage cans have tight fitting covers. Refrigerator is kept at 40 F or below and the freezer at 0 F degrees. The kitchen chemicals are locked under the sink. There is a locked drawer for sharps and knives. Continued 809-C Physical plant: Facility was checked for cleanliness and condition. Walls, windows, ceilings, floors, floor coverings, and doors were checked, all in good condition. The facility maintains a comfortable temperature. The facility has 6 bedrooms designated for residents use with on suite bathrooms currently occupying 4 residents. The facility has an upstairs designated for staff only with 3 bedrooms/2 bathrooms for live in staff and 1 locked medication room with a locked medication cart. The facility is clean, safe, and sanitary. The outdoor area of the facility has outdoor furniture with shade for residents and visitors. There are gardens and walking paths. There is a locked jacuzzi with a hard top. The facility has a fenced in pool with two locked gates. Resident rooms are adequately dressed with sheets, pillowcase, mattress pad, and blankets which are in good condition. There is at least one chair, night stand, and sufficient lighting for each resident. There is enough linen available to change weekly or more, if needed. Storage cabinets have enough personal hygiene product which is provided by the licensee and all cleaning products, toxins are stored and locked away inaccessible to residents in care. Bathrooms were checked for cleanliness, secured grab bars and proper operation. All clients have their own personal restroom with proper hand washing sign, soaps, and paper towels. Incidental Medical and Dental: Medications are centrally stored in the locked medication room upstairs, and double secured in a locked medicine cabinet. Medications are checked for expiration dates, in original containers and no labels were altered. The facility uses the Medication and Destruct Records (CSMDR) and the Medication Administration Record (MAR). Residents with Special Health Needs: The facility does accept dementia residents in care. All items that could pose a danger such as sharps, and cleaners were locked separately in drawers and cupboards. The facility does not have delayed egress. The facility does have hospice and home health visits to the facility for residents in care and plans are kept up to date. There are no residents currently on oxygen. The facility is completely fenced with a large front entry/exit gate, sign is posted at gate for opening for pedestrians. Emergency Disaster Preparedness: The plan is current, and forms were posted. The facility provides disaster drills quarterly. The fire extinguishers were charged and tagged on March 15, 2025. Fire extinguishers are located in the kitchen and the hallway closet by front entry. The dual smoke and carbon monoxide detectors are present and hard wired throughout the facility. LPA interviewed 2 staff, residents were eating lunch and resting did not want to interview. Exit interview conducted and copy of report printed for Administrator.the state’s words, verbatim · CDSS document, Oct 15, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) De Leon conducted a 1 year Annual visit. LPA met with Jessica Bailey back up Administrator and explained the purpose of the visit. LPA De Leon met Administrator at Centralized location for the Rose Group to conduct the file review for the residents and staff. Staffing: The facility currently employs 9 staff and 3 Administrators. Staff records are kept confidential. The 5 files reviewed had current 1st Aid/CPR, Personnel Records/Application, Health screening with TB results, and Criminal Record statements. Administrator Certificate for Andrianna Germain, Administrator of record expires 08/27/2026. Personnel Records & Training: The facility keeps confidential files for each staff member. Staff had 20 hours of annual training completed for all subjects/topics and hours for 2024-2025. Newly hired staff have 40 plus hours of initial training for 2025. Training records are up to date. 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 5 resident files for signed Admission Agreements, Personal Rights, Safeguard for property and valuables, Physician’s reports Pre-appraisals, Appraisals Needs and Services Plan, and Emergency and ID forms, all forms were legible and records are kept confidential. LPA will return at a later date to complete the annual visit. Exit interview conducted and copy of report printed for Backup Administrator.the state’s words, verbatim · CDSS document, Jul 16, 2025

Type of visit: Required - 1 Year

On 7/23/24 at 09:15 am, Licensing Program Analyst (LPA) Rankin made an unannounced Annual/Required visit to the facility listed above. LPA met with Andrianna Germain, Administrator, and Rachelle Tellez, Administrator, and explained the purpose of the visit. A tour of the physical plant was assessed, and the following was noted: LPA observed the license posted, Complaint Poster, Bill of Rights and Right to Residential Council, non-discrimination statement, and resident rights in the front entry and hall near kitchen. Emergency Disaster Preparedness plan is current, and forms were posted. The facility provides disaster drills quarterly. The fire extinguishers were charged and reviewed in May of 2024. Fire extinguishers are located in the kitchen and the hallway near room #3. The dual smoke and carbon monoxide detectors are present and hard wired throughout the facility and were tested and were in working order. Physical plant was checked for cleanliness and condition. Walls, windows, ceilings, floors, floor coverings, and doors were checked, all in good condition. The facility maintains a comfortable temperature. The facility has 6 bedrooms and 6 resident bathrooms currently occupying 5 residents. Living room and dining room area have sufficient space for activities and visiting. The furniture was checked and is in good condition. The common rooms are clean, safe, and sanitary. Continued on 809-C Outdoors area of the facility has outdoor furniture with shade for residents and visitors. There are gardens and walkable paths. There is a jacuzzi with a hard top secured and locked and a fenced in pool, both are inaccessible to residents. The kitchen and pantry were sufficiently stocked with two-day perishable and seven-day non-perishables. Foods are properly wrapped and stored appropriately. Food storage and preparation areas are clean and inaccessible to pests. Emergency supply of food and water is available. Garbage cans have tight fitting covers. Refrigerator is kept at 40 F or below and the freezer at 0 F degrees. The kitchen chemicals are locked under the sink. Resident rooms are adequately dressed with sheets, pillowcase, mattress pad, and blankets which are in good condition. There is at least one chair, night stand, and sufficient lighting for each resident. There is enough linen available to change weekly or more, if needed. Storage cabinets have enough personal hygiene product which is provided by the licensee and all cleaning products, toxins are stored and locked away inaccessible to residents in care. Bathrooms were checked for cleanliness, secured grab bars and proper operation. All clients have their personal restroom, and they were all found clean, with proper hand washing notices, soaps, and paper towels. Medications are centrally stored in the locked room upstairs, and double secured in a locked medicine cabinet. Medications are properly labeled and checked for expiration dates. A sampling of resident’s medication show they are recorded properly with the Centrally Stored Medication and Destruct Records (CSMDR), they are all were up to date, legible and written as prescribed. Continued on 809-C Residents with Special Health Needs: The facility does accept dementia residents in care. All items that could pose a danger such as sharps, and cleaners were locked separately in cupboards. The facility has a license for 6 Non-Ambulatory which 1 may be bedridden in room 3. The facility does not have delayed egress. The facility does have hospice and home health visits to the facility for residents in care. Operational Requirements: The Facility is operating in compliance with the fire clearance. The facility provided current up to date liability insurance. All Dementia requirements are being met. Hospice wavier granted for 3. Resident records were reviewed for requirements and legibility: LPA reviewed 5 residents’ files for Medical Assessments, Needs and Service plans, Signed Admission Agreements and Pre-appraisals. There were no issues with resident files reviewed. Staff records were checked for expired or missing certificates and clearances: LPA conducted a file review of 5 staff for criminal record clearances/associations/and current First Aid. All required training has been completed. There were no issues with staff files. Exit interview conducted and report given.the state’s words, verbatim · CDSS document, Jul 23, 2024