Routine inspection·May 26, 2022

At 10:30am Licensing Program Analyst (LPA) Angela Panushkina conducted an unannounced annual inspection at the above facility. LPA met with the caregivers Jacla Basilica who granted access to home. This is a 5 bedroom, 2 bathroom, single story family residence that includes a living room, dining area, kitchen, laundry room and attached garage. LPA toured the entire facility with the caregiver and observed the following: Infection control: Upon arrival LPA was not screened by the caregiver and was not asked any infection control questions. LPA had to prompt and guide staff through the screening process. Food Inspection: At 10:50am LPA conducted a food inspection tour and found the following: The facility has enough sufficient supply of 2 days perishable foods and one week of non-perishable foods. LPA observed food cabinets to have pad locks. Food is locked at night to prevent a resident from having access. This is a personal rights violation. The kitchen knives were observed to be accessible to residents in care. There is one carbon monoxide detector in the dining area. Smoke detectors were checked and are hardwired throughout the facility. Smoke detectors and carbon monoxide are observed to be operational. Bedrooms: There are four bedrooms designated for residents' use and have sufficient lighting. All bedrooms are properly furnished, clean and have appropriate bedding and linens. Auditory alarms are in poor repair at the front door, dining room area and in rooms #1, #3 and #4. The facility has Dementia residents in care and this poses a potential health and safety risk. Bathrooms: At 11:10am 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 131.4F. LPA observed appropriate grab bar and had non-skid mats. LPA did not observe appropriate hand washing signs posted in each bathroom. Trash can in bathrooms need lids to protect from cross contamination. Common Areas : The facility maintains a comfortable temperature at 72F. The living room and dining area appeared clean and were properly furnished. No obstructions and or tripping hazards throughout the facility. There is a fire extinguisher in the kitchen area and was last serviced on 04/11/2022. Surrounding Grounds: LPA toured the outside area of the facility. LPA observed various items stored in the backyard which need to be stored out of the way. LPA observed 3 hospital beds, garden tools and a garden hose that was used earlier, but not stored away. There are no bodies of water. Gate was unlocked and easily accessible to open. Facility has an appropriate shaded and seating area for residents outside. The garage: Attached garage is used to store extra food, PPE supplies and chemicals. LPA observed the door kept unlocked and accessible to residents in care. Medications: LPA observed residents medications are centrally stored and locked in the kitchen cabinet, however, staff room #5 has no door lock and at 11:00am LPA observed about 10 containers of random medications on a bed. . Administrative: LPA collected Certificate of Liability Insurance and LIC.500 will be emailed to LPA. Deficiencies issued per Title 22. Appeal rights issued. Exit interview conducted and copy of this report emailed to the Administrator.