Diamond Care RCFE

Type of visit: Required - 1 Year

On 3/2/26, Licensing Program Analysts (LPAs) Kyle Wellington and Janette Romero made an unannounced visit to the facility to conduct an annual inspection. LPAs met with the Administrator, Mark Melton, who was informed of the purpose of the visit. LPAs observed 2 (two) staff and six (6) residents present at the facility. The census at the facility is six (6) residents with one (1) of the residents receiving hospice care. LPAs received a LIC 9020 from the Admin. LPAs toured the inside and outside of the facility with the Admin. LPAs conducted an observation, interviews and record review at the facility for the inspection. Facility Overview: The facility is a one story house with six (6) resident bedrooms, three (3) bathrooms, kitchen, family room, dining room, laundry room and attached garage. There are no pools, bodies of water or firearms at the facility. The facility has a fire clearance to serve five (5) non ambulatory and one (1) ambulatory residents. The facility has a hospice waiver for four (4) residents. Infection Control: LPAs observed soap dispensers in the bathrooms and hand sanitizers in the facility. Cleaning supplies were locked in the garage and available for regular facility maintenance. LPAs reviewed the facility’s infection control plan which met the department’s requirements. Physical Plant: LPAs observed the inside and outside of the facility to be clean, safe and well kept. The floors, windows and doors were clean and well maintained. The living room and dining room furniture was in good repair. The halls had night lights and were free of obstruction. The residents’ bedrooms were neat, organized and had the required bedding, furniture and lighting. Bathrooms were clean, tidy and contained handrails and non-slip mats in the shower. The hot water temperature in the bathroom was measured at 112 F. Clean linens and towels were available in a hall closet. Laundry equipment appeared in good working condition. The one (1) fire extinguisher was charged and available for use. Admin tested one (1) of the smoke and carbon monoxide detectors and LPAs found them to be hard wired and operational. The backyard was clean, free of hazards and contained outdoor furniture & shaded area for the residents. Kitchen/Food Service: LPAs observed the kitchen to be clean, organized, and well maintained. The kitchen had the ability to prepare and store food in a safe and clean environment. Kitchen equipment appeared to be in good working condition. Dishes, containers, pot/pans and silverware appeared clean and in good condition. All sharp and dangerous objects were kept in a locked drawer inaccessible to residents. Cleaning supplies were kept in a cabinet in the garage inaccessible to residents. The refrigerator/freezer was clean, stocked and at the required temperatures. Food in the refrigerator/freezer and cabinets/pantry/garage were stored properly and not expired. The facility has at least a two day supply of perishable foods and a seven day supply of non perishable foods. Care & Supervision: LPAs observed the facility had sufficient staff present to supervise the residents. Administration: LPAs observed personal rights information, facility sketch, emergency phone numbers, Ombudsman information and phone numbers and complaint procedures were posted near the front door. Admin holds a current Administrator Certificate and a current CPR Certification. Admin has a criminal record clearance. Record Review and Resident/Staff Files: LPAs compared the staff present at the facility to the Guardian staff roster for criminal record clearance. LPAs reviewed the records of two (2) staff files and two (2) residents’ files. The files contained all the required documentation and paperwork. The staff and residents’ files were kept in a locked closet in the hall inaccessible to unauthorized individuals. Health Related Services/Incidental Medical Services: LPAs observed all residents’ medications were locked in a closet in the hall inaccessible to residents. No medication was stored in a refrigerator with food items. LPA reviewed the facility’s medication administration record (MAR) to make sure all medication wasaccounted for and dispensed correctly. First Aid kit contained all the required items and was kept in a locked closet in the hall. Disaster Preparedness: LPAs reviewed the facility’s emergency and disaster plan. The plan was current and up to date. Safety and fire drills are conducted every three (3) months with the last drill occurring in 2/26. LPAs observed all facility exits were clear of obstructions and had the required signage. No deficiencies were cited during this visit. Exit interview was conducted with the Administrator and a copy of this report was given to the Administrator.the state’s words, verbatim · CDSS document, Mar 2, 2026

Type of visit: Required - 1 Year

On 2/24/2025, Licensing Program Analyst (LPA) Janette Romero made an unannounced visit to the facility to conduct a required annual inspection. LPA met with Administrator, Mark Melton who was informed of the purpose of the visit. The facility has a fire clearance to serve one (1) ambulatory and five (5) non-ambulatory elderly residents. The facility also has an approved hospice waiver for four (4) and LPA was informed three (3) residents are currently receiving hospice services at the facility. LPA toured the facility with Administrator Melton and observed the facility is made up of a one-story home with six (6) resident bedrooms, three (3) resident restrooms, a kitchen, dining room, living room, and attached garage. Resident bedrooms had the required bedding, furniture, and lighting. Bathrooms had grab bars and non-skid mats in the showers. No bodies of water were observed on the premises. Indoor and outdoor pathways were free of obstruction. The facility met Departmental requirements for a two-day supply of perishable foods and seven-day supply of non-perishable foods. Medications are secured in a locked closet. Additional clean linens and towels were available in a hallway closet and cabinet. Administrator Melton tested one (1) of the smoke alarms/carbon monoxide detectors and LPA observed them to be hardwired and operational. LPA also observed a charged fire extinguisher mounted near the dining room. The facility's certificate of liability insurance expires on 2/18/2026. Staff present have a criminal record clearance and are associated with the facility. Resident files reviewed had updated physician's reports and signed admission agreements. LPA observed board games and books available for resident leisure. Long Term Care Ombudsman's contact information, complaint procedures, facility sketch, and emergency phone numbers are visibly posted near the front entrance and in the living room. During today's visit, LPA did not observe any issues or concerns. An exit interview was conducted and a copy of this report was reviewed and provided to Administrator Melton.the state’s words, verbatim · CDSS document, Feb 24, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Jacqueline Shaw Ross made an unannounced visit to the facility for the purpose of an annual review. LPA was greeted by Caregiver/Co-owner Jean Melton and explained the purpose of the visit. Administrator, Mark Melton arrived shortly. A tour of the facility was conducted inside and out. The facility is a six (6) bedroom three (3) bathroom one-story home. The facility is licensed to serve six . During the tour the following was observed: Clients bedrooms had the required furnishings and were observed to be in good condition. Bathrooms had required signage, hand rails, non-slip mats. Night-lights were observed in the hallways. Fixtures and furniture for an operational facility are present and in good repair. All passageways were free of obstructions, charged fire extinguishers and the fire alarm system was operable, medications are kept centralized and locked. Hot water was tested at 115 degrees Fahrenheit. Backyard area is free from obstructions. Kitchen/Food Service: LPA observed the entire kitchen, food is stored properly and dishes are clean and in good condition. There is a sufficient supply of perishable and non-perishable foods. Area was observed to be clean and functional. During the tour of the kitchen, LPA Shaw Ross observed the following: - Cleaning agents were stored in an unlocked cabinet under the kitchen sink accessible to clients. Deficiency cited. Care & Supervision: Facility has sufficient care staff employed. Administration: Emergency exiting plans, telephone numbers and Ombudsman information and other required signage are posted throughout the facility. Drills are conducted monthly. The last drill was conducted on 1/5/2024. Record Review and Client/Staff Files: LPA reviewed current staff and all staff have has Criminal Background Clearance, and trainings are current. During the staff record review, LPA observed the following: --No staff had current CPR/First Aid certification. Deficiency Cited. Client records were reviewed and contained all required documents. Medication Review: LPA reviewed medication and medication log. Client's medications are being dispensed according to physician's orders however LPA observed the following: --No record log for PRNs were recorded. Deficiency Cited. A copy of this report was provided along with LIC809D and Appeal rights to Administrator, Mark Melton.the state’s words, verbatim · CDSS document, Feb 14, 2024