Routine inspection·April 17, 2024

On 04/17/2024 at 3:25 PM, Licensing Program Analyst (LPA) L. Alexander arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Licensee/Administrator, Restituto Sabadera and explained the purpose of the visit. The facility’s fire clearance was approved for capacity six (6) residents in which five (5) may be non-ambulatory and one (1) may be bedridden in bedroom #1. Hospice waiver approved for four (4) residents. LPA toured facility with Restituto including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility consists of 5 total bedrooms which 3 bedrooms are occupied by the residents and 2 bedrooms is occupied by staff. All outdoor and indoor passageways are kept free of obstruction. There are no bodies of water observed. A comfortable temperature is maintained at 70 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 105 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-day of perishable foods. Smoke and carbon monoxide detectors were in operating condition during visit. Fire extinguisher was last purchased 10/07/2023. Emergency Disaster Plan was last posted on 02/09/2024. First aid kit was observed to be complete. Emergency disaster drill was last conducted on 02/07/2024. LPA reviewed 1 resident's records. LPA reviewed 2 staff records and 2 of 2 have current first aid training and associated to the facility. THE FOLLOWING DEFICIENCIES WERE OBSERVED DURING VISIT: At 4:15 PM LPA observed unlocked bottle medications on dining room table and kitchen counter At 4:16 PM LPA observed unlocked medications in bubble packaging on kitchen counter At 4:18 PM LPA observed unlocked medications in kitchen cabinet At 4:19 PM LPA observed unlabeled food in containers located in refrigerator At 4:20 PM LPA observed unlocked knives and scissors in kitchen drawer and on top of kitchen counter At 4:34 PM LPA observed ladders, toilet camodes, mops, brooms, buckets, granite marble, vaccum, chair, and other items located on the side of house and in the back yards behind sheds and patio area. Updated copies of the following documents were requested for facility file and are to be submitted to CCL by 04/24/2024: 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