Routine inspection·November 3, 2023

On 11//2023 Licensing Program Analyst (LPA) M. Garza arrived to complete an unannounced annual visit. LPA met with Direct Care Staff, Teresita Flores, explained reason for visit and was permitted entry into the facility. Administrator, Leticia Rodriguez was contacted and arrived some time later. LPA toured the facility inside and out and completed a health and safety check on residents in care. Residents observed in common areas and in rooms. 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 purchased 6/7/23. Last fire drill on 6/8/23. LPA observed sufficient covered seating in back yard. During visit the following issues were observed by LPA: Resident room #2 observed with missing dresser, 2 lamps and 2 chairs, Resident room #3 observed to be missing lamp, linens observed to be worn, garage was observed with clutter, 2 of 2 side gates do not open from the inside and are not self latching. LPA requested the following documents to be submitted to CCL by 11/10/23: 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 Administrator, Leticia. Due to time constraints, LPA will return at a later date for an annual continuation. A copy of this report, deficiencies, TA's and appeal rights will be sent via email.