Routine inspection·November 1, 2024

Licensing Program Analyst (LPA) Melissa Spaeth conducted an unannounced visit on 11/01/2024 and was greeted by the caregiver. The Administrator Nicole De Las Alas was called. LPA stated the purpose of the visit was to conduct an annual inspection. The caregiver confirmed there are five residents. The facility is licensed for five (5) non-ambulatory residents and one bedridden resident. LPA Spaeth and the caregiver toured the facility at 10:00 am until 10:30 am. Common Areas – The family room, dining room, and kitchen are combined. The family room was furnished with comfortable seating and a television. The dining room area contained a dining room table and chairs. Kitchen - LPA Spaeth observed a two-day supply of perishable food and a seven day supply of non-perishable food. The knives were locked. The cleaning solutions were locked underneath the kitchen sink. The fire extinguisher is located near the kitchen and is operable. Medications: LPA observed the resident medications, first aid kit, and PPE supplies were safely locked in a kitchen cabinet Continued on 809-C Resident Rooms: The resident rooms were furnished with a bed, linens, night stand, lamp and chair. At 10:20 am, LPA observed there are two residents in the Bedroom 5. LPA also observed an additional empty bed was located in the room and was blocking part of the doorway leading in and out of the room. At 10:35 am, LPA spoke to the Licensee, Nicole De Las Alas and stated the bed needs to be removed as soon as possible. During LPA's visit, the additional bed was removed at 11:00 am Bathrooms: The bathrooms contained hand soap, paper towels, grab bars, trash can, and slip resistant mats. Water Temperature : The water temperature was tested at 10:25 am and was 130 Degrees F. The water heater temperature was lowered. LPA tested the water temperature again at 11:09 am and the temperature was 115.0 degrees F. Hallway Cabinet- 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 in a shaded area Smoke/Carbon Monoxide Detectors : The smoke and carbon monoxide detectors were tested at 11:30 am and were operable. LPA Spaeth reviewed the resident files at 10:45 am until 11:07 am and reviewed the staff staff files at 11:07 am until 11:20 am. LPA reviewed the medications at 11:30 am until 11:55 am. Based upon LPA's observations, the following deficiencies were issued. Exit interview conducted, appeal rights were discussed, and a copy of the report was given.