Routine inspection·April 19, 2023

On 04/19/2023 at 1:42 PM, Licensing Program Analysts (LPAs) L. Alexander and L. Hall arrived unannounced to conduct 1-Year Annual Required inspection. LPAs met with Caregiver , Liza Sanchez and explained the purpose of the visit. The Administrator, Rudolph Galera arrived approx. 2:09 PM. The facility’s fire clearance was approved for 8. LPAs toured facility with Liza including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility consists of 10 total bedrooms which 8 bedrooms are occupied by the residents and 2 bedrooms is occupied by staff. The facility consists of 4 bathrooms which 3 bathrooms are located downstairs for residents and 1 bathroom upstairs for staff. All outdoor and indoor passageways are kept free of obstruction. There are no bodies of water observed. A comfortable temperature is maintained at 71 degrees Fahrenheit. LPAs 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 107.5 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. Centrally stored medication and sharps were locked and inaccessible to residents. Smoke detectors and carbon monoxide detector were in operating condition during visit. Fire extinguisher was last serviced on 10/06/2022. Emergency Disaster Plan was last posted on 08/02/2022 . First aid kit was observed to be complete. Emergency disaster drill was last conducted on 01/05/2023. LPA reviewed 5 of 7 residents records. LPA reviewed 4 staff records and 4 of 4 have current first aid training and associated to the facility. Updated copies of the following documents were requested for facility file and are to be submitted to CCL by 04/26/2023: 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 Updated Facility Sketch Infection Control Plan Resident's Roster Updated Fire Clearance Copy of Permit No deficiencies cited during inspection. Exit interview conducted. Copy of this report provided.