Teresa's Quality Comfort Care, Llc

On 07/01/2025 at 12:35PM, Licensing Program Analyst (LPA) T. Syess-Gibson arrived unannounced to conduct a case management inspection regarding facility closure. LPA met with licensee, Salina Boatner. LPA received an email dated 02/10/2025 of Licensee/Administrator advising CCL of forfeiture of license. Facility had two (2) residents at the time of notification of closure. Licensee informed residents and responsible person(s) of closure. Licensee issued a 60-Day eviction notice to the residents. The last resident moved out of the facility on 03/09/2025. LPA toured facility including but not limited to bedrooms, bathrooms, kitchen, and outdoor areas. LPA observed that no residents were present during inspection. The Licensee/Administrator provided original license and letter of closure to LPA during visit. LPA will send a forfeiture letter to the licensee at a later time. Exit interview conducted. A copy of this report is provided.

On 10/09/2023 at 12:15 PM, Licensing Program Analyst (LPA) P. Watson arrived unannounced to conduct Required 1 Year Annual inspection. Upon arrival LPA was greeted by caregiver, Administrator arrived at 1:00 PM. LPA met with Administrator, Salina Boatner and explained the purpose of the visit. The facility’s fire clearance was approved for 6 Non-Ambulatory which 1 may be Bedridden. LPA toured facility with Salina including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility consists of 3 total bedrooms which all 3 bedrooms are occupied by the residents. All outdoor and indoor passageways are kept free of obstruction. There are no bodies of water observed. A comfortable temperature is maintained at 73 degrees Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in the residents’ shared bathroom was measured at 108 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum 7 day supply of nonperishable and 2 day of perishable foods. Centrally stored medication and sharps were locked and inaccessible to residents. Smoke detectors and carbon monoxide detectors were in operating condition during visit. Fire extinguisher was last purchased on 06/18/2023. First aid kit was observed to be complete. Emergency disaster drill was last conducted on 07/28/2023. Report continues on 809 C. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 At 1:10 PM, LPA reviewed 4 of 4 residents records. At 1:35 PM, LPA reviewed 5 of 5 staff records and 5 of 5 have current first aid training and associated to the facility. At PM, LPA reviewed 4 of 4 resident’s medications. Updated copies of the following documents were requested for facility file and are to be submitted to CCL by 10/30/2023: LIC 308 Designation of Administrative Responsibility LIC 309 Administrative Organization LIC 500 Personnel Report LIC 610E Emergency Disaster Plan Liability Insurance Current Administrator’s Certificate No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.

On 7/16/2021 LPA L.Ibo conducted case management in continuation of the pre-licensing visit from 6/18/2021. LPA observed zero clients. LPA observed the following items were corrected: 1. LIC200 Application for a Community care facility - Corrected, LPA received revised LIC200 and LIC850 that matched the capacity of the facility. 2. Auditory signals for the doors (for dementia care) 3. Stove covers ( for dementia care) No issues noted during inspection. LPA observed that facility is ready to be licensed. This report will be submitted to the Central Applications Unit (CAU) and a final review of the application will be conducted. This facility is not yet licensed and is subject to final approval by CAU. Additional requirements may still be required. Exit interview conducted with Applicant Salina Baotner and a copy of report was given.