Routine inspection·June 22, 2023

At 10:30am Licensing Program Analyst (LPA) Abeye Duguma conducted an unannounced annual inspection at the above facility. LPA met with the caregivers Anita Collado and explained the reason for the visit. The administrator, Waldi Lopez, stated that she had an emergency and designated Anita Collado to sign and accept this report. This is a five (05) bedroom, two (02) 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: Food Inspection: At 10:45am 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. 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. Bathrooms: At 11:20am 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 106.8F. LPA observed appropriate grab bar and had non-skid mats. Common Areas : The facility maintains a comfortable temperature at 76F. 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 04/18/2023. (CONT. LIC809-C) Surrounding Grounds: LPA toured the outside area of the facility. 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. Medications: LPA observed residents’ medications are centrally stored and locked in the kitchen cabinet. Deficiencies issued per Title 22. . Exit interview conducted and copy of this report was issued.