Routine inspection·May 15, 2023

Licensing Program Analyst (LPA) Shawna Doucette arrived at the facility unannounced to conduct the Required Annual Inspection. LPA met with Administrator Socorro Telmo. LPA disclosed the purpose of the visit and was granted entry into the facility by Staff Jesus Ignacio. A tour of the facility was conducted with the Administrator. LPA Doucette observed 6 bedrooms in the facility. While touring the facility, Hot water temperature was measured 105.3 F. Kitchen toured, supply of food observed and food stored properly for perishable and nonperishable. Medications were stored in a locked cabinet in kitchen. Cleaning supplies were in a locked cabinet under the kitchen and in locked cabinet in garage. Smoke detectors and carbon monoxide detectors were checked and operating. Facility has a pull station fire alarm. Fire extinguisher has a service date of 12/22/22. Resident, medication, and staff records were reviewed. R1's centrally stored log was reviewed and errors were observed. R1's records were reviewed and it was observed a bottle of medication with a total count of 30 and a start date of 2/8/23 and the MARS log showing administered daily up until 5/15/23. LPA conducted a pill count with the Administrator for observed errors and found medication had not been given in March, April or May of 2023 for R1. Staff did not have updated training for annual hours required. Administrator is in the process of updating all training for staff. Deficiencies were observed and will be cited under Title 22, Division 6. See LIC 809D. An exit interview was conducted with the Administrator. A copy of this report, plan of correction and appeal rights were discussed and left with the Administrator, Socorro Telmo, whose signature on this form confirms receipt of these documents.