Routine inspection·January 2, 2024

On 01/02/24, at 10:20 a.m., Licensing Program Analyst (LPA) Gina Saucedo arrived at the facility to conduct an unannounced, annual visit. LPA was met by Jim Estabaya . One of the administrators was called and Brandon Zinkofslay -Administrator arrived at 11:05 am. LPA asked for the census, resident, and staff rosters. At the entrance of the facility there is a sign for Resident Bill of Rights. There is also a staff, storage closet locked and inaccessible to residents. The physical tour started at 11:30 am. There is no garage but there is a carport area. There is also a shed in the backyard locked where there is extra wheelchairs and beds for residents. There is an extra refrigerator outside with extra food. Backyard: There is a table set and chairs for residents use. There is enough seating for five (5) residents. There is a pool that is fenced and gated inaccessible to the residents. Medications and sharps are in a cabinet locked and secured in the kitchen area. It is inaccessible to residents. The first aid is also located in this cabinet. Kitchen area was observed to be clean. The refrigerator is fully stacked for five (5) residents. LPA reviewed the food service area, food storage and supply (perishable and nonperishable foods). The kitchen food supply was observed and sufficient for the five (5) residents currently residing there. There is an excess of perishables in several of the cabinets. The disaster plan is located against the wall in a frame on your right hand side of the kitchen area. In addition, there is the YES sign, Rights of Residents and Ombudsman signs. There is a fire extinguisher located in the kitchen against the wall, dated April 2023 and fully charged. LIC 809C-continued Living and dining room furniture is accessible for five (5) residents. There is a television and enough seating for five (5) residents. There is internet accessibility a phone line available for resident use. Furniture was observed to be in good condition and the fireplace has a covering around it. There is a laundry area with one washer and dryer. The toxins are kept on the side and on top of the laundry area locked and secured inaccessible to he residents. There is smoke detectors and carbon monoxide detectors that are functional throughout the house. Bedrooms: There is seven (7) bedrooms. Six (6) bedrooms are single, occupied for residents, One (1) bedroom is for staff use. There is three bathrooms. One and a half bathroom use for staff and residents and one private bathroom. The bathrooms read a temperature between 110.5 and 111.5 Fahrenheit. All bedrooms are properly furnished with proper lightning. The bathrooms have proper toiletry and grab bars. There are several extra closets in the hallway with extra linen. Temperature of facility wall thermostat is observed and set to 73 degrees Fahrenheit. Administrative: There is an annual fee due of $495.00 as of 12/23/2023. The administrator showed proof of insurance plan. An exit interview was conducted, two different citations were issued-one for staff not having current and/or CPR/Firstaid and one for not having over-night staff for dementia residents, and a copy of this report was given to the administrator with the appeal rights.