Routine inspection·August 4, 2025

On 08/04/2025 at approximately 10:00 AM, Licensing Program Analyst (LPA), Angelica Segovia conducted an unannounced annual visit to the facility. LPA was greeted by the caregiver and stated the reason for their visit. The Administrator, Alma Guinto arrived shortly after to assist with today’s visit. LPA asked for the census, Staff/Resident Roster, and Liability Insurance. LPA conducted a physical plant tour at approximately 12:00 PM and the following was noted: The facility is a single-story building with four (4) bedrooms and two (2) bathrooms currently occupying two (2) residents. There is a designated staff room. The facility has an approved fire clearance for three (3) non-ambulatory residents and two (2) ambulatory residents. Common areas: The living rooms and dining room were observed to be neat, clean, and organized. The rooms were observed to be properly furnished and in good repair. The facility maintains a comfortable temperature at 76°F. LPA observed a fire extinguisher to be located near the kitchen and dated 03/07/2025. LPA observed required postings such as Long-Term Care Ombudsman, Emergency Disaster Plan, and Personal Rights to be located throughout the common areas. A working telephone was observed. Kitchen: The kitchen was observed to be clean and free from pests. Sufficient supplies of seven (7) day nonperishable foods and two (2) day perishable foods were not observed. LPA observed expired food within the refrigerator and mold growth. Knives/sharps were observed to be kept in a locked kitchen drawer. The cleaning solutions/toxins were observed to be kept underneath the kitchen sink. LPA observed one of the locked latches to be broken. Kitchen appliances were observed to be working and in proper condition. (continued on LIC 809-C) Bedrooms: The residents’ rooms are adequately furnished with appropriate furniture and lighting system. Hallways/passageways are lighted appropriately. Extra linens/covers were observed stored within storage closets located in the hallway’s passageway. Bathrooms: The bathrooms were checked for cleanliness and proper operation. The hot water temperature was measured within regulations at 106.2 °F. Garage: The garage can be accessed from inside of the facility and was observed to be located towards the back of the facility. LPA observed the garage to be used for storage purposes and extra food. Laundry Room: The laundry appliances were observed to be located in the garage. LPA observed cleaning solutions and toxins stored within locked cabinets above the laundry appliances and inaccessible to residents. The laundry appliances were observed to be working and in proper condition. Backyard: The backyard of the facility is equipped with a designated shaded area with outdoor furniture for residents. LPA observed locked shed. There is no body of water located at the facility. Medications: The medications were observed stored in a locked cabinet located in the kitchen. LPA observed one (1) out of the two (2) residents’ medication to be kept in separate containers and not within their original containers. First-aid kit observed. Smoke detectors and carbon monoxide observed to be working properly and were tested. Residents/Staff Records: LPA conducted a complete file review of resident records. Resident records appeared to be missing reappraisals for both residents. Staff records: LPA conducted a complete file review of staff record. Staff records appeared to be missing staff training on Dementia. There were no other immediate health and safety hazards observed during the day of inspection. Citations issued please see 809-D. Exit interview conducted, Appeals Rights given, and a copy of this report was provided to the Administrator.