Routine inspection·April 8, 2025

On 04/08/2025, Licensing Program Analyst (LPA) de la Cerra arrived at the facility at 10:30am to conduct an unannounced annual inspection. LPA met with the facility administrator and LPA informed administrator the purpose of the visit. At approximately 11:00am LPA and administrator toured the facility and the following was observed. The facility is a single-story building that consist of five (5) bedrooms and two (2) bathrooms. LPA observed one (1) fully charged fire extinguisher. LPA observed the required facility postings in the common area. The facility provides a telephone for clients to use and LPA observed the phone to be operational. LPA observed dual smoke/carbon monoxide detectors that are hard wired and interconnected. Administrator tested the dual smoke/carbon monoxide detector @11:50am and was observed to be operational. Bedrooms: There is one (1) bedroom for staff use and four (4) bedrooms designated for residents to use. Resident rooms were observed to have sufficient lighting. All bedrooms are furnished with a night stand, a chair, a lamp, a closet and a bed with clean bedding and linens. Bathrooms: LPA observed two (2) bathrooms that are in good repair. The hot water temperature measured between 106°- 109°F. LPA observed the appropriate grab bars by the toilet and in the shower area. LPA observed the appropriate non-skid mats in each bathroom. Common Areas : The living room appeared clean and were properly furnished. No obstructions and or tripping hazards throughout the facility. KITCHEN: The facility has a kitchen area that is equipped with a refrigerator, stove and microwave. There is an adequate supply of perishable and nonperishable food and dining ware to accommodate a maximum capacity of six (6). Sharps and knives were observed locked in a kitchen cabinet. Laundry Area: LPA also observed the washer and dryer located in the detached garage and both appear to be in good condition. LPA also observed a locked cabinet that stores laundry detergents and some cleaning solutions, Surrounding grounds: No bodies of water observed at this facility. LPA observed 2 seating areas for residents to use. The backyard seating area is shaded and both seating areas has furniture to accommodate the residents. The passageways and entrance to the home was clear of obstruction. Facility Records: At 1:00pm LPA conducted review of residents’ records and staff records. LPA reviewed six (6) out of six (6) client records and two (2) staff records to ensure compliance. The facility files were kept in locked cabinet located in the common area. Medications: The medications were kept in locked cabinet in the common area and is inaccessible to residents in care. The first-aid kit is complete. At approximately 1:51pm medications and medication records for two (2) residents were reviewed for proper documentation. Centrally Stored Medication Records are pre-filled by pharmacy and facility keeps a Medication Administration Record (MAR). Administrative: LPA received copies of the following; LIC 500, LIC 9020, liability insurance and administrator certificate. No deficiencies cited during today's visit. Copy of this report, was provided to the administrator.