Routine inspection·May 20, 2025

On 05/20/25 at 9:20 AM, Licensing Program Analyst (LPA) Gina Saucedo, arrived to conduct an unannounced, annual inspection at the facility. Upon arrival, LPA Saucedo met with Administrator, Charles Arrieta and disclosed the purpose of the visit. LPA asked for the census, resident, and staff files. A physical tour was conducted at 10:30AM and observed the following: The entire facility has at total of 73(seventy-three) beds. Forty-three (43) on the second floor and thirty (30) on the first floor. The physical tour started on the first floor. Random Bedrooms were randomly selected to tour and were observed to have appropriate furniture, lightening, bedding and televisions. Some of the bedrooms had their own small refrigerators, utensils. Random Bathrooms were observed to have grab bars and non-skid mats. Hot water temperature was tested randomly for and measured 118–119-degree Fahrenheit. Fire extinguishers were observed throughout the facility and were fully charged on green with different dates such as October 2025 and May 2025. There are fire extinguishers upstairs, downstairs and in the kitchen area. Carbon Monoxide and fire alarms are located throughout the facility and are operable. There are also fire sprinklers located throughout the facility upstairs and downstairs. 809C-continued Facility has a designated medication room that is inaccessible to residents where all the medication is stored and locked. There are two (2) medical-technician staff during the daytime. The syringes for residents are kept in a refrigerator and the residents are provided with the dosage but they administer it themselves. The diabetic and high blood pressure results are kept in a binder. The centrally stored medication destruction record is sheet is kept in a cabinet. The outside/backyard/patio area was accessible to residents with different areas for them to sit. There is appropriate outdoor furniture for the residents to sit on with proper shading. There is no body of water. Common Areas : These include the dining areas, library, hair salon, and activities room. All common areas were observed to be cleaned and properly furnished. The library has sitting for residents and has books in several shelves on the second floor. The activity room has a large television and has enough seating for several residents to watch the television and do different activities on the second floor. The dining area has the menu against the wall. Facility maintains a comfortable temperature of 75, 76, 80, 81-degree Fahrenheit. There are several temperature thermostats throughout the facility. There are several common bathrooms throughout the upstairs and downstairs area. The staff and resident bathrooms are not shared. There are several separate bathrooms for residents and staff throughout the facility. There are trash cans with lids and covid signs posted in the common bathrooms. There is toilet paper and napkins. There is one (1) egress chair located in the facility office. There are two (2) facility laundry areas. One (1) is located outside and has large washers and dryers with locked chemicals inaccessible to the residents . This laundry area has extra linen, and one (1) is located inside that can be entered from the facility with a key. Next to the laundry room that is accessible from the facility is a shower area that residents can use if they cannot shower themselves or need a larger area to shower for example residents with wheelchairs. 809C-continued The Kitchen area was toured, and LPA observed there to be sufficient seven (7) day supply of non-perishable foods and perishable food for all residents. The kitchen area was clean at the time of the tour. The dining area is located next to the kitchen where different residents were having lunch with proper feeding utensils/plates/cups. Next to the kitchen/dining room area is a vending machine for residents and staff use that has snacks. There is fire extinguisher and fire sprinklers in the kitchen area. Administrative: The Insurance plan is dated as of 09/07/2025. There is a disaster plan manual located in the office of the facility where the staff and resident files are located. The last disaster and fire drill was conducted on 4/28/25, 03/22/25, 02/23/25 and 01/25/25. There is a company that is named SouthWest contracted by the facility to do fire drills. The YES sign, Ombudsman, Personal Rights, Disaster Plan, Master Menu and Activities are located down the hallway leading to the dining area on the first floor An exit interview was conducted, no citation(s) were issued, and a copy of this report was given to the administrator.