Routine inspection·March 4, 2022

At 11:40 a.m., Licensing Program Analyst (LPA) Melissa Ruiz conducted an unannounced annual inspection at the facility mentioned above. LPA was greeted by staff, Mary Ana Rodriguez. This is a 6-bedroom, 3-bathroom single story residential care facility for the elderly. A physical tour was initiated at 12:00 p.m. and observed the following: Infection control: One infection control sign was observed outside the facility. LPA reminded Administrator to place additional covid-19 signage outside the entrance. Upon entering the location, LPA observed the sign in station which contained thermometer, hand sanitizer, and visitors sign in sheet. LPA's temperature was recorded. Sufficient PPE supplies were observed. Food Inspection: LPA observed there to be sufficient stock of one-week non-perishable foods and two-day perishable foods. Food storage and preparation areas are clean and inaccessible to pests. Sharps and cleaning supplies are centrally stored in locked cabinets in the kitchen. Smoke detectors/carbon monoxide were located throughout the facility. Medications are centrally stored in a cabinet near the kitche and are kept locked at times. Resident rooms: LPA was then escorted through the home and observed the resident’s rooms were properly furnished. Bathrooms: LPA observed the bathroom which contained wash your paper towels, hand sanitizer, and trash cans with closed tight-fitting lids. The water temperature read 120 degrees Fahrenheit. Outside areas: LPA toured the outside area of the facility. LPA observed appropriate outdoor furniture, with a covered shaded area for residents. There are no bodies of water. Administrator was unavailable at the time of the visit and staff Mary Ana Rodriguez signed the report. No deficiencies cited. An exit interview was conducted. A copy of this report was signed and provided.