Routine inspection·April 11, 2024

Licensing Program Analyst(LPA) Sanjay Vaid conducted an unannounced annual visit at the facility using the CARE inspection tool. LPA met with Roxana Aparicio supervisor/caregiver and explained the reason for the visit. D'arolyn Acevedo administrative assistant, arrived 10 minutes later. The facility is licensed to serve 22 residents over the age of 60, of which (12) may be non-ambulatory and/or 12 may be bedridden on the 1st floor only, with a hospice waiver approved for 12 residents. The home is a two story building located in residential/commercial area and consist of the following: first floor has 10 bedrooms, 3 bathrooms, 2 closets, office space, and the kitchen; second floor has 8 bedrooms and 2 bathrooms, a front yard, a back yard, parking, and a laundry in the basement. LPA conducted a tour with Roxana Aparicio and observed the following: Kitchen consists of a commercial stove/grill, sink, a pantry, refrigerator, and freezer inaccessible to the residents. LPA observed sufficient food. Kitchen and pantry floors were observed clean during the visit. Each bathroom was observed with skid mats and grab bars and water temperature was tested as follow; bathroom #1(B1) tested at 115.7 degrees F., bathroom #2(B2) tested at 107.9 degrees F., bathroom #3(B3) tested at 109.4 degrees F., bathroom #4(B4) tested at 110.2 degrees F., and bathroom #5(B5) tested at 112.7 degrees F., which is within the required 105-120 degrees F. LPA observed 6 resident rooms (room #4, #7, #14, #18, #20 and #22) and observed required furniture, bedding supplies, and sufficient lighting. Resident in room #1 and #10 was observed to have full bed rails and has a hospice plan and bed rail request on file. Front and back yard have shaded sitting area. No large bodies of water were observed. LPA reviewed medication and files for 6 residents and 4 staff files. Fire drill is done quarterly. Facility has fire sprinkler system and smoke/carbon monoxide detectors throughout. Fire extinguishers were observed and last checked in Jan 2024 and are fully charged. No deficiencies were noted on today’s annual inspection. Exit interview was conducted with Roxanne Aparicio and a copy of this report.