Routine inspection·February 18, 2025

Licensing Program Analyst (LPA) Tuesday Cabiness conducted an unannounced annual inspection. LPA arrived at the facility and was allowed to enter Marie Orillo. She was informed the reason of the visit. LPA observed another staff on duty. The Administrator Herman Javier was contacted and arrived later during the visit. A physical plant inspection was conducted with caregivers. LPA observed the front entrance, as a screening area, with sign in sheet, infrared thermometer, hand sanitizer, gloves and masks are available. Signs to wear a mask was posted on the facility front door. The following was observed during the physical plant inspection: The facility has seven (7) bedrooms and three (3) bathrooms. One (1) bedroom is designated for staff use. The facility is fire cleared for six (6) non-ambulatory and a hospice waiver for four (4). Physical environment was checked for cleanliness and condition. Walls, windows, ceilings, floors and floor coverings, and doors were checked, and clean in good repair. The following was noted: Living and dining room furniture were also checked. The living room is neat and clean along with dining The smoke detectors are hardwired and inter connected and observed to be operational. The facility is equipped with sprinkler system. The fire extinguisher was located in the kitchen and observed to be filled and current. The Clients' rooms are adequately furnished with appropriate furniture and lighting system. Clients have sufficient amounts of personal hygiene product which is provided by the licensee. Food Service/Kitchen : LPA observed the food to not be sufficiently stocked with (2) days perishable and (7) days non-perishable food. LPA was informed groceries would be brought today. The freezer did not have a sufficient supply of frozen foods, or meat. Food was observed to be wrapped and stored appropriately. Food storage and preparation areas are clean and inaccessible to pests. Cleaning supplies including detergents and pesticides and other toxins are stored in garage. Knives, sharps, and medication are observed to be kept in a locked drawer and cabinets. The backyard of the facility has outdoor furniture, with a covered shaded area for clients. The front and backyard passageways were clear of any obstruction. The swimming pool is appropriately fenced and was observed to be locked during visit. The garage is attached to the home and was locked and inaccessible to residents during the visit. The garage is also used as a stock room for emergency foods and PPE and laundry area. The bathrooms were checked for cleanliness and proper operation. LPA observed the appropriate grab bars for each toilet, bathtub and shower. The hot water temperature measured at 119.5 F. There is enough clean linen available in stock at the linen cabinet. Medications : LPA observed the medication cabinet to be locked and inaccessible to residents. Medications are listed on the centrally stored medication and destruction record; no errors noted. First aids kits have complete tools and supplies. Client records : Client records are reviewed. Staff records : LPA conducted a complete file review of staff record. Staff #1 (S1) has no fingerprint clearance. Citation issued, appeal rights, Exit interview conducted and copy of this report issued.