Routine inspection·April 28, 2025

At 2:40p.m., Licensing Program Analyst (LPA) Antonia Alvizar-Ettima conducted an annual required visit and inspection of the facility. LPA met with Caregiver gained entry and explained the reason for the visit. At about 2:45p.m., Caregiver contacted Administrator, Linda Morales arrived and indicated that cannot stay for this visit. Administrator granted permission for caregiver to sign this report. At approximately 3:05p.m., LPA and Caregiver conducted a physical plant tour. Required postings were observed in the hallway. The smoke alarms are operational that are located in each bedroom, the hallway and kitchen. There are several carbon monoxide detectors that functions properly. The fire extinguisher is in the kitchen and the hallways. The charge date is 03/30/2025. During this visit facility temperature is at 75 degrees Fahrenheit. The facility is fire cleared for six (06) non-ambulatory residents; one (1) maybe bedridden; approve for two (2) hospice waiver. Kitchen: The kitchen appliances and fixtures were functional. The kitchen has a working gas stove, faucet, freezer, refrigerator, and microwave. LPA found at least two (02) days perishable and seven (07) days non-perishable food at the facility that is properly stored. Frozen foods are wrap, dated, and stored properly as well. Knives were stored in a locked cabinet in the kitchen. Food storage and preparation areas are clean and inaccessible to pests. Garbage cans have tight fitting covers. Cleaning supplies, pesticides or toxic cleaning supplies were stored and locked away in the kitchen. Bedrooms: There were six (06) bedrooms designated for residents' use. Bedroom #1(empty), bedroom #2 -#6 are all private use that has only one resident. Resident bedrooms were properly furnished with appropriate dresser, beddings, and linens with sufficient lighting. Continue to LIC 809-C Bathrooms: There are three and a half (3.5) bathroom designated for residents' use. The bathrooms were properly supplied and had functional fixtures. Hot water temperature was measured at 115.8 degrees Fahrenheit for half bathroom located in the hallway beside the kitchen. Bathroom #1 in inside bedroom #6, hot water measured at 117.5 degrees Fahrenheit. Bathroom #2 is beside bedroom #2. Hot water temperature was measured at 118.0 degrees Fahrenheit. Bathroom #3 is located at inside bedroom #3, hot water measure at 116.2 degrees Fahrenheit. There was enough clean linen available in the cabinets in the hallway. Common Areas: LPA toured all common areas of the facility. These included the living room and dining area for residents. The common areas were properly furnished. Residents dining table fits six (6) chairs. LPA observed common areas to be very clean and tidy. LPA observed the floors to be in very good condition. No obstructions and or tripping hazards throughout the facility. Furniture in common area was observed to be in good repair. There are no issues with Fire Clearance. Surrounding Grounds : Entry and exits were free of obstruction. There was furniture appropriate for outdoor use. The outdoor area was free of hazards. The facility does have a swimming pool, fenced up and locked. Attached garage and is used for PPE and extra food storage. Laundry service: There is enough linen available to change weekly or more if need. Cleaning supplies are being stored in a locked cabinet in the laundry area and garage. Due to time constraints, LPA had to terminate the visit and will return on a later date to complete the Required - 1 Year inspection by reviewing medication, staff files, resident record, interview residents and complete the Compliance & Regulatory Enforcement (CARE) tools . No immediate health and safety hazard is noted during this visit. An exit interview was conducted. A copy of this report was provided to the Caregiver.