Bethel Care Home on Cottage

Type of visit: Required - 1 Year

On 09/22/2026, at 02:30 PM, Licensing Program Analyst (LPA) James Sampair arrived unannounced to conduct this Required 1 Year inspection. Upon arrival, the LPA explained the purpose of the visit to Caregiver Andre Ashman. The LPA toured the community inside and outside. The tour of the community included, but was not limited to, residents’ rooms, bathrooms, kitchen, common areas, and the yard. The community was clean, appropriately furnished, and well lit. There are no bodies of water on the grounds of the community. The interior and exterior passageways of the community were free from obstructions. The LPA observed the required postings in the community. The residents’ bathrooms are equipped with grab bars and slip-resistant mats. There are more than the required minimum 7-day supply of nonperishable foods and 2-day supply of perishable foods on hand. The temperature of the refrigerator was below 40 degrees and the temperature of the freezers was below 0 degrees Fahrenheit. The maximum hot water temperature was measured at 106 degrees Fahrenheit in the kitchen. At 4:20 PM, the inside temperature was measured at 72 degrees Fahrenheit in the dining room. Continued on LIC 809-C... ...Continued from LIC 809 The centrally stored medication cabinet was locked. Staff dispense medications directly from the original container to residents. The first aid kit was observed to be complete. The smoke and carbon monoxide detectors were operational. The fire extinguisher was last serviced on 02/12/2026. The Emergency Disaster Plan was reviewed by the ADM on 04/10/2026. Community cited for not conducting Emergency / Disaster drills with all staff for all shifts each quarter. The most recent one was conducted on 08/31/2026. The liability insurance is current through 06/16/2027. An administrator is on site more than the minimum of 20 hours a week to ensure proper business operations are being conducted. The LPA reviewed community records, 5 resident records, and 5 staff records for accuracy and completeness. One (1) Type B citation was issued during this inspection. Exit interview conducted and a copy of this report provided.the state’s words, verbatim · CDSS document, Sep 22, 2026

Type of visit: Required - 1 Year

On 08/05/2025 at 01:20 PM, Licensing Program Analysts (LPAs) James Sampair and David Doidge arrived unannounced to conduct the Required Annual Inspection. Upon entry, LPAs stated the purpose of the visit to Licensee Carla Blaj. LPAs toured the facility including but not limited to residents’ rooms, bathrooms, kitchen, common area and courtyard. LPAs observed lighting in all rooms are adequate for the comfort and safety of the residents. Hallway temperature was maintained at 70 degrees Fahrenheit. The hot water temperature was measured at 107.4 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of one week supply of nonperishable and 2 days of perishable foods. Centrally stored medications, sharps and toxic are locked and inaccessible to residents in care. The carbon monoxide and smoke detectors were fully operational. The LPAs observed required postings in the facility, including the Residential Care Facility for the Elderly Complaint Poster, Ombudsman and Personal Rights posters, and the Theft and Loss Policy. Smoke detectors and carbon monoxide detectors were in operating condition during visit. Fire extinguisher was last serviced on 03/17/2025. Emergency Disaster Plan was last reviewed on 07/11/2025 Emergency, disaster, and fire drill are conducted quarterly, last conducted on 07/11/2025. First aid kit was observed to be complete. The LPAs reviewed four (4) residents and four (4) staff records; all were complete. No citations were issued during the inspection. Exit interview conducted and a copy of this report provided.the state’s words, verbatim · CDSS document, Aug 5, 2025

Allegation investigated: Staff did not receive resident after being discharged from the hospital in a timely manner.

On 4/7/2025, at 2:00 PM, Licensing Program Analyst (LPA) James Sampair arrived unannounced to investigate the allegation above. Upon arrival, the LPA informed Administrator (ADM) Carla Blaj of the purpose of the visit. The complaint alleges staff did not receive resident after being discharged from the hospital in a timely manner. The LPA interviewed Witness W1 by telephone. The LPA interviewed the ADM concerning the refusal to accept Resident R1 immediately after being discharged from the hospital. The ADM explained that the delay was not because of staffing or any other facility-related issues. Instead, it was based on R1's care needs, which would have been negatively impacted by the transportation from the hospital to the facility at midnight. The data collected from the interviews shows that the staff were acting in best interest of R1, which does not confirm the allegation. Continued on LIC 9099-C . . . Unsubstantiated . . . Continued from LIC 9099 Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove them; therefore, the allegation is UNSUBSTANTIATED. Exit interview conducted and a copy of this report was provided.the state’s words, verbatim · CDSS document, Apr 7, 2025 · control 15-AS-20250401104140

Type of visit: Required - 1 Year

On 8/1/2024 at 8:40 AM, Licensing Program Analysts (LPAs) James Sampair and David Doidge arrived unannounced to conduct the Required Annual Inspection. Upon entry, LPAs stated the purpose of the visit to Licensee Carla Blaj. The LPAs inspected the interior and exterior of the facility. The inspection of the physical plant included the kitchen, dining area, restrooms, community living spaces, resident rooms, storage areas, and the grounds of the facility. More than the required minimum of 7 days of nonperishable and 2 days of perishable foods were appropriately stored. Temperature in the dining room was measured at 74.6 degrees Fahrenheit at 10:18 AM. The fire extinguisher was serviced 3/12/2024. The carbon monoxide and smoke detectors were fully operational. The LPA observed required postings in the facility, including the Residential Care Facility for the Elderly Complaint Poster, Ombudsman and Personal Rights posters, and the Theft and Loss Policy. An administrator is on site more than the minimum of 20 hours a week to oversee the proper business operations. The LPA reviewed facility records, records of 5 residents, and records of 5 staff members. No citations were issued during the inspection. Exit interview conducted and a copy of this report provided.the state’s words, verbatim · CDSS document, Aug 1, 2024