Routine inspection·October 18, 2022

Licensing Program Analyst (LPA) Angela Panushkina conducted a required annual visit to this facility. LPA met with the staff member, Nenita Santillan, who granted access to the facility and then contacted the Administrator. Administrator arrived shortly after and LPA explained the reason for the visit. Infection Control: Upon arrival, LPA observed two (2) out of two (2) staff members wearing proper face masks. Kitchen: At approximately, 1:15pm LPA toured the kitchen area and observed enough supplies of staple non-perishable for minimum 1 week and perishable for 2 days at the facility. All knives and sharps are observed to be locked in a kitchen drawer and inaccessible to residents. Medications: At approximately, 1:25pm LPA observed medications are centrally stored and locked in the cabinet, by the kitchen area and inaccessible to residents in care. Bedrooms: There are four (4) bedrooms designated for residents use and have sufficient lighting. All bedrooms are properly furnished, clean and have appropriate bedding and linens. Auditory alarms were tested and observed to be operational. Bathrooms: At 1:40pm LPA observed all bathrooms are clean and in good repair. Properly supplied with toilet papers, soap and paper towels. The hot water temperature measured at 120.0°F. LPA observed appropriate grab bar and had non-skid mat. LPA observed appropriate hand washing signs posted in each bathroom. All trash cans in bathrooms had fitted lids to protect from cross contamination. Common Areas : The facility maintains a comfortable temperature at 77°F. The living room and dining area Continue on LIC809-C appeared clean and were properly furnished. No obstructions and or tripping hazards throughout the facility. The fire extinguisher is located in a living room, by the kitchen and was purchased on 10/18/22. Smoke detectors/carbon monoxide . Smoke detectors were located throughout the facility, and carbon monoxide was located in a hallway. At 1:55pm they were tested and observed to be operational. Outside areas: At approximately, 2:00pm LPAs toured the outside area of the facility. LPA observed appropriate outdoor furniture, with a covered shaded area for clients. LPA discussed the importance of maintaining the care and supervision to meet the needs of residents. There are no bodies of water. The garage: The garage is used for a storage (PPE, extra equipment, furniture, food, etc.) and was observed locked and inaccessible to residents in care. Laundry: Laundry area is located by the staff (live-in) room and was also observed to be locked. Administrative: Administrator will email a copy of LIC500 and Certificate of Liability Insurance to LPA No citations issued during this visit. Exit interview conducted. Copy of report emailed to Licensee.