Routine inspection·June 12, 2024

On 06/12/24 at 9:05AM, Licensing Program Analyst (LPA) Gina Saucedo, arrived to conduct an unannounced, annual inspection at the facility. Upon arrival, LPA Saucedo met with caregiver Teresita Pugado and disclosed the purpose of the visit. Ronald Barit, the administrator was called and arrived about twenty (20) minutes later. LPA asked for the census, resident, and staff files. A physical tour was conducted at 11:15 AM and observed the following: The Kitchen area was toured, LPA observed there to be sufficient seven (7) day supply of non-perishable foods and seven (7) day perishable food for all residents. The kitchen area was clean at the time of the tour. There is extra, food in the kitchen pantries. The knives are at the bottom of the one (1) of the kitchen cabinets on your right-side locked and inaccessible to the residents. The chemicals are under the sink locked and inaccessible to the residents. The medications and first aid kit are locked and inaccessible to the residents on top of one (1) of the kitchen cabinets. The fire extinguisher is located against the wall on your left-hand side of the entrance of the facility. It is fully charged. The expiration date is 01/2025. The house temperature is at 72-degrees Fahrenheit. The smoke detectors/carbon monoxides are in the hallway area. They were tested and working properly. LIC 809C-continued Bedrooms: There are four (4) bedrooms and two (2) full bathrooms. Four (4) bedrooms are single, occupied. One (1) of the bedrooms has a private bathroom. The other bathroom is next to one (1) of the closets that are filled with extra food. There is no staff room. All bedrooms and bathrooms were toured and were properly furnished and have appropriate bedding, linens, toiletry, and lightning. The bathrooms have proper toiletry, grab bars and non-skid mats. The bathroom temperatures of the water are within regulations reading at 110–112-degree Fahrenheit. The living room area has enough seating for the residents and the staff. There is a fireplace that is covered and inaccessible to the residents. The dining area has a television and a telephone line. Administrative: There is no annual fee that is due right now. The Insurance plan is dated as of 04/2024-04/2025. At the entrance of the facility against the right-side of the facility there is a billboard with signs: Yes and Ombudsman. Against the wall of the kitchen there is the Infection Control Plan, Emergency and Disaster Plan, House Rules, Grievance Procedures, Planned Activities and the Facility Residents Registry. Outside/Backyard: There is an outside/backyard that is currently inaccessible to the residents in care because of the major construction occurring. There is also a small shed. The facility does not have a signal system. The facility does not have a pool/body of water. The washer and dryer is outside located on your left-hand side of the facility prior to entering the backyard. Let it be noted, there has been major changes to the original facility sketch. The original facility sketch had five (5) bedrooms. Bedroom #5 is no longer there instead there is a bathroom in that location. The dining hall next to the kitchen is no longer there. There is a partition where the construction is occurring which is inaccessible to the residents. LPA observed an additional room and bathroom under construction in the backyard where the construction is occurring. The garage is no longer there. LPA observed two (2) doors but administrator does not know what will be constructed inside those two (2) doors. There is currently no fire clearance or building permits. An exit interview was conducted, citation(s) were issued, and a copy of this report was given to the administrator.