Routine inspection·July 2, 2025

On 07/02/25 Licensing Program Analyst (LPA) Evelin Rios arrived at the facility to conduct an unannounced annual inspection. Upon arrival, LPA was greeted by a caregiver. Caregiver contacted the Licensee and informed them LPA was at the facility. Licensee, Beatriz Vasquez met LPA shortly after. LPA Rios explained the purpose of the visit. At 2:00 p.m., LPA Rios conducted a physical plant tour of the facility inside and out. The following was observed: LPA observed appropriate postings by the entry and a visitor sign-in log with a digital thermometer affixed to a wall. Kitchen: The kitchen appliances and fixtures were functional. LPA found a sufficient amount of 2-day perishable and 7-day non-perishable food at the facility; properly stored. Knives were stored in a locked drawer in the kitchen and medications were observed locked in a kitchen cabinet. Cleaning supplies were observed locked in kitchen cabinet under the sink. Bedrooms: There are five (5) bedrooms designated for residents' use of which one (1) is shared. Resident bedrooms were properly furnished with appropriate bedding, linens, sufficient lighting and required furniture. Hallway cabinets by the bedrooms were observed to store extra linens. The auditory alarms on all exit doors were on and functional at the time of visit. Bathrooms: There are three full (03) bathrooms and one (01) half bathroom. One (1) full bathroom is located in the shared bedroom. Bathrooms were properly supplied with paper towels, hand soap, toilet paper and grab bars. LPA observed the bathroom fixtures to be functional. Hot water temperature was taken from three (03) bathrooms at 3:14 p.m. and read within regulation. (Continued on LIC809-C) Common Areas : These included the two (02) living areas and two (02) dining areas. The common areas were clean, clear of clutter and properly furnished. Dining tables sit the capacity of the facility. One of the living areas has a television and fireplace secured with a screen. Laundry: The laundry room is kept locked and inaccessible to residents in care. Detergents are kept in the laundry room locked. Garage: The garage is accessible and the facility uses it as a storage room. The smoke alarms are hard wired and interconnected. Licensee tested the smoke detectors at 3:43 p.m., and they were observed functional. The facility also has fire doors that automatically closed when the smoke detector were tested. LPA observed a carbon monoxide detector by the kitchen. LPA tested carbon monoxide detector and it was observed functional. The fire extinguisher is located in the kitchen and was observed fully charged with purchased date 06/09/2025. Surrounding Grounds : Entry/exits were free of obstruction. The outdoor area was free of hazards and fenced in. No bodies of water were observed. Resident Files/ Staff Files / Facility Files : At 2:16 p.m., LPA conducted a file review of four (04) out of four (04) resident records. At 2:53 p.m. LPA also conducted a file review of staff records and facility records to insure forms and training are up to date and compliance with licensing forms. LPA reviewed facility's Emergency Disaster Plan (LIC610E) and Certificate of Liability Insurance. Medications : At 3:11 p.m. Medication and Medication Records were reviewed for proper documentation. No deficiencies observed during today's visit. Exit Interview conducted. A copy of the report provided.