Routine inspection·June 5, 2025

On June 5, 2025, Licensing Program Analyst (LPA) Rachel Bruce arrived at the facility unannounced to conduct the Required Annual Inspection. LPA met with Administrator Beatriz Ponce and Assistant Administrator Sabrina Arnelas. LPA explained the purpose of the inspection and was granted entry into the facility by the Med Tech, Barbara Martin. A tour of the facility was conducted with the Med Tech and Assistant Administrator. The residence was set at 72 F temperature and free of passageway obstructions inside and outside. Kitchen toured, LPA observed 2 day supply of perishable food and 7 day supply of non-perishable food. Kitchen was clean and organized. Sharps and knives are kept locked in kitchen cabinet. Cleaning supplies were in a locked closet smoke detectors and carbon monoxide detectors were checked and operating. Water temperature measured within regulatory range. Tel-Tec Security Systems conducts a Fire Alarm system inspection annually. Facility has a fire sprinkler system. Fire extinguishers last inspected on August 2024 and pressure gauges are in the good range. LPA with AD inspected the backyard. LPA, observed that the backyard is well maintained, trees and grass in good condition. Patio furniture is clean and ready for use. LPA observed two locked sheds. Sheds store extra equipment, incontinence pads/diapers, emergency supply of water (4 five gallon water jugs). The exterior walkways are free from obstructions and debris. There are four patio tables with umbrellas and seating. Status of the fence and repairs will be determined at the next visit. LPA met with med tech and conducted audit of pill count and MARS documentation. Records were up to date and in full compliance. Medication room is locked and med carts locked within that room. LPA observed medications are stored in medication room. Medication bins for each resident, labeled and organized. First aid kit was inspected and found to contain the required items. During today's inspection, LPA observed 7 resident bedrooms. The bedrooms were well lit. Window and screens are in good condition. Bedrooms have two twin beds, ample space between the beds, a shared dresser, two night stands, and a shared closet that can store the residents' personal belongings. Furniture and linens are free from stains and are well maintained. The resident rooms are set up with a jack-and-jill bathroom between them - shared between 2 rooms. Water tested at 98 in one random bathroom and 103.2 in another. All bathrooms inspected today were in need of paint. Patching repair had been completed but need to be painted. LPA observed Staff Room to be clean and organized. Due to time restraints, LPA will return to complete inspection and issue any citations necessary. At that visit, physical inspection will be reviewed and any incomplete issues will be resolved. LPA will also review staff and resident files and conduct interviews with both staff and residents. LPA will also utilize the Care Tools system to complete the Required Annual Inspection. An exit interview was conducted and a copy of this report was provided to Administrator.