San Antonio Residential Facility

Based on observation, interview, record review, the licensee did not comply with the section cited above. During record review Licensing Program Analyst (LPA) David España and Licensing Program Manager (LPM) Ulysses Coronel and Administrator did not observe annual Phycisian's for both clients in care, which poses/posed a potential health, safety or personal rights risk to persons in care.

Ensure hazardous items are locked and not unattended

Based on the findings of CLR cleaning solutions below the clients' sink, the licensee did not comply with the section cited above in the client's bathroom containing CLR cleaning solution below the sink which poses/posed a potential health, safety or personal rights risk to persons in care.

Clean linen quantity and hygiene supplies

Based on LPAs observation the licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care. During the tour, LPAs observed missing sheets on two beds in bedrooms 1 and 2.

Store disinfectants separately from food supplies

Based on LPAs observation, the licensee did not comply with the section cited above which poses an immediate health, safety or personal rights risk to persons in care. LPAs observed cleaning solutions and knives unlocked and accessible to residents in care.

Store centrally held medications in locked secure place

Based on LPAs observation, the licensee did not comply with the section cited above which poses an immediate health, safety or personal rights risk to persons in care. During the tour, LPAs observed residents medication (Milk of Magnesia) in a file cabinet in dining room unlocked and accessible to residents in care. LPAs observed staff medication (vitamins and other misc meds) in a cabinet unlocked and accessible to residents in care.

Based on LPAs observation the licensee did not comply with the section cited above in which poses/posed a potential health, safety or personal rights risk to persons in care. LPAs observed a missing medication administration record sheet for resident 1

Based on LPAs observation the licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care.LPAs observed a mattress and folding bed in the hallway off the dining room area leading to a storage closet. LPAs observed another mattress in the kitchen next to the refrigerator. Staff told LPAs they sleep in the living area to listen for residents in care.

Maintain facility in clean, safe, sanitary condition

Based on LPAs observation the licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care.LPAs observed paint, bed frame and other miscellaneous items on the patio furniture and surrounding area. LPAs observed boxed closet door located in room 2 located behind resident entry/exit door. LPAs observed an unlocked broken file cabinet in the dining area with staff and resident records. LPAs observed cob webs in resident room 3, clutter in resident room 1, used towels laying on the kitchen and bathroom floor. LPAs observed a missing toilet seat cover in residents’ bathroom.