Routine inspection·August 16, 2022

Licensing Program Analyst (LPA) Shira Stamps met with Administrator Rita Morales for an unannounced one (1) year Required visit for this facility. LPA arrived at 10:35 am and was greeted by caregiver Adelaida Salazar. All residents were observed to be in their rooms sleeping, watching TV and/or resting. The Administrator arrived at 11:00 am and informed her of the purpose of the visit. Infection control: LPA reviewed facility mitigation plan (approved on 03/06/21) to make sure licensee was following current infection control recommendations. Upon arrival LPA was not screened by the caregiver LPA was asked to sign-in and sanitizer was available. A tour of the physical plant was conducted with Administrator at 11:12 am. The facility has four (4) bedrooms and two (2) bathrooms currently occupying six (6) residents. facility is Fire Cleared for six (6) non-ambulatory and has a hospice waiver for four (4). Food Inspection LPA conducted tour at the kitchen around 11:15 am observed there to be sufficient stock of two-day perishables and seven-day non-perishables foods. Frozen foods are properly wrapped and stored appropriately. Food storage and preparation areas care clean and inaccessible to pests. LPA observed all knives and sharp object being locked and inaccessible to residents in care. LPA observed medications accessible to residents in care in a kitchen cabinet. The Administrator immediately locked the medications in the hallway medications closet. CONTINUED... Living and dining LPA observed the living room to be neat and clean along with the dining room. The facility maintains a comfortable temperature at 73°F. The smoke detectors and carbon monoxide detectors were tested and observed to be operational at 11:28 am. There are two (2) fire extinguishers, one (1) is located in the kitchen and one (1) is located in the garage. The Fire extinguishers were observed to be full. Resident Rooms LPA observed rooms to have the appropriate bedding. There is a night stand and sufficient lighting for each resident. LPA tested the exit doors auditory system, and it was observed to be operational for each room. Bathrooms At 11:26 am LPA observed all bathrooms to have non-skid matts, grab bars, and the appropriated wash your hands signs posted. Hot water was tested and measured within regulation at 120.0 degrees F. Laundry/Garage LPA observed chemicals/hazardous items in the locked laundry room. The garage is attached to the facility and connected to the locked laundry room. LPA observed 30-day supply of PPE, extra storage of items, and an extra refrigerator. Medications are kept in the refrigerator and are inaccessible to residents in care. Physical environment LPA toured the outside area of the facility at 11:27 am. LPA observed appropriate outdoor furniture, with a covered shaded area for residents. No bodies of water on the premises. Administrative: LPA collected the LIC.500, resident roster, hospice waiver, and criminal record clearance. Annual fee is due 8/18/22. LPA requested the infection control plan. LPA requested fire clearance for bedridden resident since the fire clearance does not show the facility is cleared for bedridden residents. An exit interview was conducted, citations and civil penalty issued. A copy of this report and appeal rights were given to the Administrator.