Routine inspection·September 9, 2024

On 09/09/2024 Licensing Program Analysts (LPA's) M. Garza and R. Bruce arrived unannounced for an annual inspection visit. LPA's were met by Direct Support Staff, Dora Bagda. LPA's introduced selves, explained reason for visit and was permitted entry into the facility. House Manager, Virginia Jimenez was contacted and arrived a short time later. Administrator, Elizabeth Moreland was contacted and arrived after Virginia LPA's completed a health and safety check on residents in care. LPA's toured the facility inside and out. Residents not present during time of visit. Pathways and doors were clear and free from obstruction. Facility was clean. Common areas were clean, adequately furnished, and adequately lit. Smoke detectors and carbon monoxide detectors were present and operational at time of visit. Fire extinguisher last serviced 2/7/24. Last fire drill in April 2024. Water temperature measured 118.2 degrees F. Resident rooms observed to have the required furnishings and with adequate lighting. Linen supplies are kept in linen closet in hallway. Sharps, chemicals locked in cabinets. Medications were located in locked medication cart. The following issues were observed during visit: 1 of 5 residents rooms observed with odor of urine. No seating under covered patio area. Chemicals inside unlocked shed. Right side gate does not self latch. Light with missing bulbs exposing electrical. Pest control issue. Laundry piled in receptacle without lid. Laundry room door in need of repair or replacement. Laundry vent on roof in need of cleaning. Metal rebar sticking out of ground in need of removal. Food source does not meet regulation requirements. Door plate in R1's room missing screws. R3's bedroom door (master) missing trim. R3's light cover exposing electric. R3's bathroom door observed with a small hole in need of repair. Chemicals observed in 6 of 6 resident rooms and 3 of 3 restroom. CONT... CONT... LPA's requested the following documents to be submitted to CCL by 9/13/24: current copy of Administrator’s Certificate, Administrator Organization (LIC 309), Designation of Administrative Responsibility (LIC 308), Emergency Disaster Plan (LIC 610-E), Affidavit regarding Resident Cash Resources (LIC 400), Personnel Report (LIC 500), Register of Facility Clients/Residents (LIC 9020) in order to update the facility file. Deficiencies cited during the inspection. Exit interview completed with Administrator, Elizabeth Moreland. A copy of this report, deficiencies, TV's and appeal rights provided.