Routine inspection·January 12, 2024

Licensing Program Analyst (LPA) Cynthia Chan conducted the annual inspection on 1/12/24. LPA arrived unannounced and met with Staff, Raquel Salen. The purpose of the visit was explained. Administrator, Elna Villaflor, arrived to assist with the visit. The facility is licensed to serve (6) non-ambulatory residents, ages 60 and over. There is an approved hospice waiver for 1 resident. LPA utilized the Compliance and Regulatory Enforcement (CARE) Tools to inspect the home. The following were observed: Infection Control: The facility has submitted an Infection Control Plan. Staff are continuing to clean and disinfect the home. They are using appropriate hand hygiene and wearing gloves while assisting residents. Operational Requirements: The facility has a dementia care plan to accept or retain residents with dementia. There are no residents utilizing oxygen at this time. Facility has the required amount of liability insurance coverage. Physical Plant & Environment Safety: The facility has 5 resident rooms, living room, dining area, family room, kitchen, 2 bathrooms, and attached garage. The hot water temperature was measured between the required range of 105-120 degrees F. There are no swimming pool or bodies of water on the premises. The fireplace is adequately screened. There are smoke detectors located in each bedroom and a carbon monoxide detector located in the hallway. Disinfectant, cleaning solutions, knives are locked and inaccessible to residents. Food Service: There are sufficient food supplies of 2-day perishable and a week of non-perishable items. The foods are properly stored in the refrigerator. The kitchen is kept clean and free of insects and vermin. LPA will continue with the remainder of the domains at a later date. No deficiencies are issued today. An exit interview was held and a copy of this report was given to the administrator.