Routine inspection·January 4, 2024

Licensing Program Analyst (LPA) Glenn Trueman made an unannounced visit and was greeted by Staff Marissa Barajas and explained the reason for the visit. The purpose of the visit is to complete the required inspection. LPA Trueman toured the facility along with Staff Marissa Barajas today 01/04/2024 at 10:20 AM and the following was observed: Facility contains 7 Bedrooms and 3 Bathrooms, dining room, living room, TV room, and activity room. Required Annual Inspection included Infection Control, Operational Requirements, Physical Plant/ Environmental Safety, Staffing, Personnel Records/ Staff Training, Resident Rights- Information, Planned Activities, Food Service, Incidental Medical and Dental, Resident Records/ Incident Reports, Disaster Preparedness and Residents with Special Health Needs. LPA observed sufficient supply of 2 day perishables and 7 day non perishables. All staff were cleared and associated. Water temperature was checked in 3 resident bathrooms and measured between 105F. and !25 F. Licensee maintained an individual admission agreement for each client. Fire Clearance has been maintained. Carbon monoxide detector was observed in the facility. Each client has personal rights free from corporal or unusual punishment, infliction of pain, humiliation, ridicule, coercion, threats, mental abuse, or other actions of a punitive nature. Facility was clean, safe, sanitary, and in good repair at all times for the safety and well being of clients, employees and visitors. Medication was reviewed for 5 residents and was given per physician's directions. 5 Resident Files and 5 Staff Files were reviewed. Interviews were conducted with the 2 Staff on duty and 1 resident. 4 residents present at facility were non-verbal and unable to respond to questioning. No deficiencies. Exit interview conducted and copy provided.