Routine inspection·October 17, 2024

On 10/17/2024 Licensing Program Analyst (LPA) M. Garza arrived unannounced for an annual inspection visit. LPA was met by Direct Care Staff, Elaine Salcedo LPA introduced self, explained reason for visit and was permitted entry into the facility. Licensee, Josiane Jones was contacted and arrived some time later. LPA completed a health and safety check on residents in care. LPA toured the facility inside and out. Residents observed in common areas. Currently there are no residents receiving hospice services. Pathways and doors were clear and free from obstruction. Facility was clean and without odor. 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 8/14/24. Last fire drill on 5/26/24. Resident rooms observed to have the required furnishings and with adequate lighting. Linen supplies are kept in linen closets. Sharps were located in locked closet near laundry room. LPA observed sufficient seating under covered patio areas. The following issues were observed during todays visit: chemicals and items posing a harm to residents in R3's bedroom closet, in the laundry room and in the garage unlocked and accessible to residents in care. Water temperature measured at 129.8 degrees F in the kitchen. LPA requested the following documents to be submitted to CCL by 10/25/24: current copy of Administrator’s Certificate, Administrator Organization (LIC 309), Designation of Administrative Responsibility (LIC 308), Emergency Disaster Plan (LIC 610-E), Personnel Report (LIC 500), Register of Facility Clients/Residents (LIC 9020) in order to update the facility file. Exit interview completed with Licensee, Josiane Jones. A copy of this report, deficiency and appeal rights provided.