Routine inspection·August 8, 2023

On 08/08/2023, Licensing Program Analyst (LPA) V. Gorban arrived unannounced at the above facility to conduct an Annual Inspection. LPA introduced self, stated the purpose of the visit, and was granted entry to the facility. LPA toured facility with Administrator Cleo Ramirez (certification number 6008964740 and expiration date 10/09/23). Facility has one entrance/exit point. LPA observed residents in private rooms watching television after breakfast. The facility was observed to be at a comfortable temperature, of 77 degrees F. Facility is free of debris, in good repair, and no passageway obstructions or fire hazards were observed. Common areas were properly furnished and well-lit throughout. Department phone number and infection prevention information signs were posted thought the facility. Inspecting kitchen LPA observed the required 7-day supply of non-perishable food and 2- day supply of fresh perishables to be properly stored. An emergency disaster supply was observed stored. Fire extinguisher was observed with a service date of 02/24/23. All 6 resident's private rooms were observed to be with comfortable temperature. Bathroom water temperature was tested and recorded reading of 113 degrees F. Medications observed to be locked in a cabinet in the hallway. LPA reviewed MAR, it appears to be administered properly. Cleaning supplies were observed to be in a locked cabinet in the laundry room. An Outdoor seating area was observed for residents in care. Side gate was self-closing and self-latching. LPA reviewed Staff and Resident files. Resident files observed to have update information. No deficiencies were observed during this visit. Exit interview conducted with administrator. Report was signed and copy of this report was provided for facility records.