Routine inspection·May 14, 2025

Licensing Program Analyst (LPA) Rachel Bruce arrived unannounced to conduct the Annual inspection. LPA was granted entry by Caregivers Isagani Colocado and Mae Geradine Guillermo. Administrator, Gina Flores was called and arrived shortly thereafter. Facility was toured with Caregiver, Isagani Colocado. During this visit, LPA toured the facility and grounds. During this visit, there were 5 residents present. There are 6 resident rooms, all contained required furnishings and lighting and a TV , the hallway had working night lights. There are 3 bathrooms in this facility. LPA observed grab bars in shower and around toilet, non skid mat in showers, shower chairs, and trash cans with lids. Hot water measured within regulatory requirements. Resident hygiene supplies were properly stored and available. The kitchen was toured observed in good repair with necessary items and appliances and sharps/knives are stored in locked drawer. Cleaning products and dish soap are stored in locked cabinet below sink. Refrigerator was observed to be at 41 degrees F and Freezer at 0 degrees F. LPA observed 2 day perishable and 7 day non perishable food supply available. No expired food observed. There is a second refrigerator located in garage to hold extra food. Medications are centrally stored and locked in kitchen cabinets. Narcotics requiring refrigeration are stored in a locked box in the garage refrigerator. There are 2 fire extinguishers in the facility, one in the laundry room and the second in the kitchen. Both were ta ken for service during the visit. Smoke and Carbon Monoxide detectors are located in each bedroom and in the common areas. Smoke/carbon detectors was tested and found to be functioning; they are interconnected. Facility has designated visitation areas available inside and out. Doors and passageways are unobstructed throughout the facility. Garage is kept locked. LPA observed locked box of medication in refrigerator for narcotics. Currently there are three residents on hospice. Shelves store extra incontinence and general supplies. First aid kit found to contain required items. Laundry room is kept locked. LPA observed the room and appliances to be in good condition. Cleaning products are stored in locked cabinet. The backyard is well maintained, trees, bushes and grass in good condition. There is a screened pergola with seating for 5. Patio furniture is clean and ready for use. The exterior walkways are free from obstructions and debris. LPA conducted resident and staff file reviews and all contained required information. An exit interview was conducted with Gina Flores, whose signature on this form confirms receipt of these documents.