Routine inspection·May 17, 2021

Licensing Program Analysts (LPAs) Jennifer Jones and Troy Agard conducted an unannounced visit to San Antonio Residential Facility. The purpose of today’s visit was to conduct the annual inspection. LPAs was greeted by caregiver Maria Alindayu and later met with administrator, Francis Soriano and Mailgros Soriano. Licensee prefers to serve clients 60 and above. All 3 clients bedrooms are fired cleared for 6 non-ambulatory residents. No hospice waiver. No dementia plan of operation. The facility handles any of the residents’ money. LPAs and staff toured the physical plant, checked food service, medications, reviewed staff records and reviewed resident files for medical status and first aid kit. The home consists of 3 resident bedrooms, 1 staff bedroom, 1 resident bathroom, 1 staff bathroom, living room/ dining room, and kitchen. LPAs inspected resident bedroom furniture, bed linens and closet/drawer space to accommodate each resident. Resident bathroom were checked. LPAs inspected the toilet and water faucet, grab bars, shower and a non-skid mat was in place. LPAs measured water at 120 degrees. Resident bath towels, toiletries and personal hygiene supplies were adequately stocked under the sink and in the detached garage. Kitchen was checked and observed. Perishable and non-perishable food supply was checked. Cleaning solutions, hazardous items, and medications were observed. Smoke detectors were working properly and fire extinguisher was fully charged. Carbon monoxide detector was operational. Outside grounds were toured. No body of water observed. Walkways around the home were observed. There are no security bars or weapons on the premises. The following deficiencies were observed during the inspection: During the tour, LPAs observed the resident records, staff records, medication, cleaning solutions and knives unlocked and accessible to residents in care. LPAs observed a mattress and folding bed in the hallway off the dining room area leading to a storage closet and another mattress in the kitchen next to the refrigerator. LPAs observed a missing toilet seat cover in residents bathroom. LPAs observed missing sheets on two beds in bedrooms 1 and 2. LPAs observed a missing medication administration record sheet for resident 1 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 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. LPAs observed cobb webs in resident room 3, clutter in resident room 1, used towels laying on the kitchen and bathroom floor. (Advisory notes) Facility will ensure that covid screening is conducted for all visitors upon entry. Facility will ensure that all staff and resident records are up to date (physicals and IPPs) Facility will ensure that staff wear mask at all times. LPAs recommend replacing skid mat in the resident bathroom. Deficiencies cited on 809 D Exit interview conducted and a copy of the report was furnished.