Routine inspection·September 19, 2024

On 09/19/24, Licensing Program Analyst (LPA) Regina Cloyd conducted an unannounced required – annual inspection and met with House Manager Angelito Costa . The facility is licensed to serve six (6) bedridden residents with a hospice waiver approved for one (1) terminally ill resident. The facility is an one-story house located in a residential neighborhood and consists of four (4) resident bedrooms, one (1) staff bedroom, three (3) bathrooms, kitchen, living room/TV room, dining room, shaded patio and a garage. The facility is clean, sanitary, and in good repair. Protective devices are in place, including non-slip mats and grab bars in all showers. The House Manager accompanied LPA inside and outside the facility during this inspection. Outside grounds were toured and no bodies of water were observed. Walkways around the home were clear of hazards. Resident bedrooms had the required furniture, bed linens and closet/drawer space to accommodate each resident comfortably. There are no security bars or weapons on the premises. Resident bathrooms were checked. Toilets and water faucets worked properly, grab bars were secure, shower was free of mold/mildew and a non-skid mat was in place. Resident bath towels, toiletries and personal hygiene supplies were adequately stocked. Continue to LIC809-C. Common areas were clean and clear of hazards, doorways were free of obstructions. LPA toured the kitchen area and observed a two-day supply of perishable and a seven-day supply of non-perishable food. Knives and toxins were kept in locked storage cabinet. First Aid kit was available. One fire extinguisher, purchase September 2024, was observed near the front door. The House Manager tested the carbon monoxide detector and smoke detectors in the house. Both devices were functional. Four staff records were reviewed, 4 out of 4 staff records had required criminal record clearances or criminal record exemptions. Four resident records were reviewed and, 4 out of 4 resident records had medical assessments and needs and services plan. Two residents’ medication was reviewed. No deficiencies are being cited. An exit interview was conducted, technical assistance provided, and a copy of this report was discussed and left with the House Manager Angelito Costa.