Routine inspection·June 9, 2025

On 06/09/25 at 9:10AM, 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 fifteen (15) minutes later. LPA asked for the census, resident, and staff files. A physical tour was conducted at 10:15 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 and two (2) other pantries located in between the bedrooms in the hallway. 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 01/2026. LIC 809C-continued The house temperature is at 72-degrees Fahrenheit. The smoke detectors/carbon monoxides are in the hallway area. They were tested and working properly. Bedrooms: There are four (4) bedrooms for residents and three (3) full bathrooms. Four (4) bedrooms are single, occupied for residents. 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 in the hallway. There is another bathroom located behind the kitchen that is new construction. 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 119–120-degree Fahrenheit. There are also two (2) staff bedrooms that is new construction. 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. There is an office located at the entrance of the facility on your right-hand side. Administrative: There is no annual fee that is due right now. The Insurance plan is dated as of 04/2025-04/2026. 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 continued construction occurring of a new pipeline. There is also a small shed also located in the backyard. 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 right-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. The dining hall is now located behind the kitchen. The garage is no longer there. There is currently pending fire clearances that have not been finalized and facility sketch has to be updated/corrected regarding the new construction. An exit interview was conducted, citation(s) and civil penalties were issued, appeal rights and a copy of this report was given to the administrator.