Routine inspection·May 21, 2024

On 5/21/24 Licensing Program Analyst (LPA) M. Garza arrived unannounced for an annual inspection visit. LPA was met by Administrator, Alex Zanin. LPA introduced self, explained reason for visit and was permitted entry into the facility. LPA completed a health and safety check on residents in care. LPA toured the facility inside and out. Residents observed in common areas and in rooms. There were 8 residents on hospice at the time of the inspection. 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 operate on a system. Fire extinguisher last serviced 2/1/24. Last fire drill was on 3/29/24. Water temperature measured in sample bathrooms. Temperature measured from 106.3 to 114.8 degrees F. Resident rooms observed to have the required furnishings and with adequate lighting. Linen supplies are kept in linen closets. Sharps and medications were located in locked closets/rooms. LPA observed sufficient seating under covered patio areas. Sample file review completed for staff and residents. The following issues were observed during visit: Water damage stain to ceiling in room #106 in need of paint. Doors blocking exit in right side hallway. Chemicals observed in various resident bathrooms. Bar soaps observed in bathrooms. Chemicals and objects that could poses a danger to residents in activity room. Food in kitchen freezers improperly labeled/stored. room #305 observed with oxygen tank without sign posted. Hospital bed for hospice resident with railing in room #308. Facility does not have hospice care plan for hospice resident. Garden bench broken and missing seat. CONT... CONT... LPA requested the following documents to be submitted to CCL by 5/31/24: current copy of Administrator’s Certificate, Administrator Organization (LIC 309), Designation of Administrative Responsibility (LIC 308), Emergency Disaster Plan (LIC 610-D), Personnel Report (LIC 500), Register of Facility Clients/Residents (LIC 9020) in order to update the facility file. Deficiencies cited on 809D per Title 22. Exit interview completed with Administrator, Alex Zanin. A copy of this report, deficiencies, T V 's and appeal rights were given.