Routine inspection·September 20, 2024

Licensing Program Analyst (LPA) Melissa Spaeth conducted an unannounced visit and was greeted by the caregiver. The Administrator Maricel Reyes arrived at 9:35 am.. LPA stated the purpose of the visit was to conduct an annual inspection. The Administrator arrived at 10:55 am. The staff confirmed there are three residents. The facility is licensed for six (6) non-ambulatory, bedridden residents. LPA Spaeth and the caregiver toured the facility at 9:15 am until 9:55 am Common Areas – The living room and family room contained comfortable seating. A dining room table with chairs are located in the kitchen. The family room contained a television. Kitchen - LPA Spaeth observed a two day supply of perishable food and a seven day supply of non-perishable foods. The knives and cleaning solutions were underneath the kitchen sink and was not locked. LPA observed the caregiver locked the cabinet at 9:17 am.. The fire extinguisher is located in the kitchen and is operable. Medication - LPA observed the resident medications and PPE supplies were safely locked in a kitchen cabinet. LPA observed an unlocked kitchen cabinet which was not locked and contained a previous residen's medication. LPA observed the Administrator removed the medication and disposed of the medication. LPA observed the first aid kit. Garage//Washer & Dryer – The laundry room contained the washer/dryer. The door leading to the garage was not locked. Additional cleaning supplies and the laundry detergent were not securely locked. LPA observed the cabinet was locked during the visit. An additional refrigerator is located in the garage and contained additional food items. Continued on 809-C Resident Rooms: The resident rooms were furnished with a bed, linens, night stand, lamp and chair. The rooms were neat and clean. Staff Room: The staff room was not locked. LPA observed over the counter medication in the room. LPA Spaeth observed the medication was removed from the room. Bathrooms: There are two (2) bathrooms in the facility. The bathrooms contained hand soap, paper towels, grab bars, trash can, and slip resistant mats. The water temperature was recorded to be 105.0 Degrees F. Hallway Closet - LPA observed the clean linens were located in a cabinet. Surrounding Grounds : There were no visible hazards, and passageways were free from obstruction. The side gate of the house was closed and was not locked. Comfortable seating is also located in the backyard. Smoke/Carbon Monoxide Detectors : The smoke and carbon monoxide detectors were tested at 9:50 am and were operable. LPA Spaeth reviewed the resident and staff files at 10:15 am until 10:53 am.. LPA reviewed the medications at 10:50 am until 11:00 am There were no issues with the resident and staff files. Based upon Title 22 Regulations, the following deficiencies are substantiated. (See 809-D page). Exit interview conducted, appeal rights discussed, and a copy of the signed report was given