Routine inspection·May 2, 2025

On 05/2/25 at 09:15 am Licensing Program Analysts (LPA) J. Clancy-Czuleger arrived unannounced to do an annual inspection. LPA meet with Administrator Liza Elegado and explained the purpose of the visit. LPA inspected the facility inside out. There is no body of water. Physical plant is consistent with the facility sketch received by Central Application Bureau (CAB) and approved by the fire department. LPA inspected the living room, dining area, kitchen, bedrooms, hallways, bathrooms, side and backyards. Bedrooms were observed appropriately furnished with adequate lighting and drawers. Facility has sufficient towels, extra bed sheets and comforters. Equipment and supplies for residents' personal hygiene are available and on site. Dinner and silver wares were observed sufficient for residents' use. Food supplies checked and observed good for seven days of non-perishables. Facility was observed equipped with refrigerator, microwave, dishwasher, washer and dryer. Cabinet for knives, and central storage for medications were observed with locks. Activity supplies were available. Outdoor activity space was observed furnished with tables, chairs and shade. The facility has a mitigation plan. Fire extinguishers were observed fully charge and tags showed serviced . At 10:02 am LPA reviewed 4 residents records. At 11:05 am, LPA reviewed 2 staff records and 0 of 2 were fingerprint cleared and associated to the facility. Continued on 809-C... ...Continued from 809 The following deficiencies were observed: 9:30 am- LPA observed S2 crushing medication into food and serving it to R1- no orders for crushed medication was in R1's file 11:00 am- S1 and S2 are not associated to the facility 11:30 am- LPA observed expired cans of food The Facility was cited, and citations can be found on the LIC 809-D. Exit interview conducted. Appeal Rights and a copy of this report provided.