New Hope Residential Elder Care

Type of visit: Required - 1 Year

Licensing Program Analysts (LPAs) Aziz Faizi and Abdoulaye Zerbo conducted an unannounced annual required visit. Upon entry, LPAs were greeted by Administrator Annie Jane Mikenas and informed them of the purpose of the visit. At the time of the visit, there were two (2) staff members and five (5) residents present. The facility is a two-story home with three (3) bedrooms and two (2) bathrooms, including an attached garage. There are no pools or known firearms on the premises. LPAs observed that hygiene and cleaning supplies were available for regular facility maintenance. The facility’s infection control plan was reviewed and found to meet department requirements. The physical plant, including floors, windows, and doors, was clean and well maintained. Fixtures and furniture were in good repair. The outdoor area was free of hazards. Laundry equipment was in good working condition. Sharp and dangerous objects were securely locked and inaccessible to residents. Both the smoke detector and carbon monoxide detector were operational, and the hot water temperature was 105.6°F. Fire extinguisher located in the kitchen meeting department's requirements expiring 1/13/2027. The facility’s kitchen was clean and equipped to prepare food. The facility maintained the required two-day supply of perishable foods and a seven-day supply of non-perishable foods. Continued on LIC809-C.... Adequate staff were present to supervise clients during the visit. The administrator holds a current administrator’s certificate expiring 7/1/2027 and a CPR certification expiring 7/1/2027 LPAs reviewed files for two (2) staff members, confirming criminal clearances, updated training, and CPR/First Aid certification. Three (3) residents files were reviewed and contained all required documentation. All residents medications were securely locked. LPAs reviewed medications for two (2) residents, confirming that all medications were listed on the Medication Administration Record (MAR) and accounted for. LPAs reviewed the facility’s emergency and disaster plan, including documentation of the last emergency drill conducted on 01/06/2026, which met department requirements. All facility exits were clear of obstructions. No deficiencies were cited during the visit. An exit interview was conducted, during which this report was reviewed and provided.the state’s words, verbatim · CDSS document, Feb 11, 2026

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Abdoulaye Zerbo conducted an unannounced visit for a required annual inspection. The LPA was greeted by Administrator Edward Mikenas, notified him of the purpose for the visit and was allowed to enter the facility to conduct the inspection. Facility Overview: The facility is a two story building (Approved to only use the lower level) with four (4) residents bedrooms, two(2) bathrooms, a living room, a kitchen area, a garage and two sheds. There is no gated pool and there are no firearms on the premises. Infection Control: LPA observed that hygiene and cleaning supplies were available for regular facility maintenance. The facility’s infection control plan was reviewed and found to meet department requirements. Physical Plant: The physical plant, including floors, windows, and doors, was clean and well maintained. Fixtures and furniture were in good repair. Laundry equipment was in good working condition. Sharp and dangerous objects were securely locked in the kitchen inaccessible to residents. The smoke detector and carbon monoxide detector were operational. LPA observed fire extinguishers to be in compliance with the department requirements with an expiration date of January 27th, 2026. The water temperature was tested within regulations. Continued 809-C...... Care & Supervision/Administration: Adequate staff were present to supervise clients during the visit. The administrator holds a current administrator’s certificate with expiration date of July 01, 2025 Record Review and Resident/Staff Files: LPAs reviewed files for two(2) staff members, confirming criminal clearances, updated training, and CPR/First Aid certification. LPA observed that the staff did not have the health screening in their folder. A citation will be issued. Four (4) residents' files were reviewed. LPA observed one of four residents' file not to have an updated physician report. A citation will be issued. Health-Related Services/Incidental Medical Services: All residents' medications were securely locked in a cabinet and located in the living room. LPA reviewed medications for four residents, confirming that all medications were listed and accounted for. Disaster Preparedness: LPA reviewed the facility’s emergency and disaster plan, including records of the last drill conducted at the facility on November 2024. LPA observed the exist door by the front entrance to be obstructed by a built in bird cage. A citation will be issued An exit interview was conducted, during which this report was reviewed, and a copy was provided to Administrator Edward Mikenas along with the appeal rights.the state’s words, verbatim · CDSS document, Feb 5, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Janira Arreola conducted a required annual visit. LPA was greeted and was granted entry and met with Licensee, Jane Mikenas, who was informed of the purpose of the visit. At time of visit there were (4) clients and (4) staff present. The facility is a two story home with licensed capacity on the first floor with (3) bedrooms and (2) bathrooms. The facility does not have a pool or fire arms. The facility is a residential care facility for the elderly serving elderly ages 60 and above. LPA observed the following: Infection Control: LPA observed hand hygiene supplies, PPE equipment and cleaning supplies to do regular cleaning of the facility. The facility has a infection control plan on file. Physical Plant: Physical plant, floors, windows, and doors were observed to be clean and fixtures and furniture were present and in good repair. The facility's outdoor area was observed to be free of hazards. Laundry equipment was observed to be in good working condition. The carbon monoxide detector were operational. Food Service: LPA observed facility kitchen had the ability to prepare food in clean environment and possessed equipment in good working condition. LPA observed the facility met the required food items. Record Review and Resident/Staff Files: LPA reviewed staff files and training along with CPR/First Aid. (1) on boarding staff did not have a health screening conducted, technical note was issued as all other staff had health screening and appointment had been previously booked for health screening. Licensee agreed to send LPA proof of the health screening when completed. Client files were reviewed and possessed all required paperwork. Health Related Services/ Incidental Medical Services: All client medication was locked in a hallway cabinet. LPA reviewed client medications and found that MARS and medication had discrepancies. LPA observe medication #1 (M1) was punched but not documented on MARS as given. Medication #2 (M2) was noted for morning, noon and evening, and LPA found all medication was punched out of bubble pack as given. Based on interview, the evening medications are given at 8pm, and at the time of inspection, 2:00pm, the evening medication had been punched as given. Based on staff interview, who admitted making an error, documentation and observation, the facility is being cited for Disaster preparedness: LPA reviewed the facility's emergency and disaster plan. LPA reviewed documentation showing last fire drill conducted on 3/5/2023. This was cited and plan of correction was created with licensee. An exit interview was conducted where a copy of this report, LIC809-D, LIC811, appeal rights and LIC9098 were reviewed and provided to, Licensee, Jane Mikenas.the state’s words, verbatim · CDSS document, Feb 26, 2024

The state marks this report as 4 pages; the online copy we transcribed has 3. You can request the full file from the county licensing office.