Routine inspection·August 1, 2024

On 08/01/24, Licensing Program Analyst (LPA) Mario Leon conducted an unannounced annual required visit using the CARE Inspection Tool. LPA met with house manager, Rino Santos. LPA explained the purpose of today’s visit. The facility is licensed to operate for (6) non-ambulatory elderly adults ages 60 and above. The facility is approved for (2) hospice residents and the facility currently has (2) hospice residents in care. The facility is a single-story structure, located in a residential neighborhood. It consists of the following: (4) residents' rooms, (2) bathrooms, (1) staff bedroom, a living area, a dining area, a kitchen, a shaded outside seating area, with an attached garage. LPA toured the physical plant. There were no bodies of water on the premises. All rooms were inspected. Beds and bedding supplies were in operational condition, adequate lighting was provided, and storage for the resident's personal belongings was observed. During LPA's inspection, room #1 needs the window sill cleaned and sections of the blinds were observed to need repairs. Room #4's window screen, closest to the TV, needs to be re-screened and sections of the blinds were also observed to need repairs. Bed linens, comforters, and bath towels were adequately stocked during today's visit. Bathrooms were operational and no mold was observed in bathroom numbers one (#1) and two (#2) showers. Bathroom #1's screen is in need of cleaning/disinfection, as the screen was observed dirty. LPA observed cleaning solutions below the sink in bathroom #2. Water temperature was measured at 111.0 degrees F in the kitchen, 108.0 degrees F in bathroom #1 and 106.5 degrees F in bathroom #2. A comfortable temperature of 73.4 degrees F was maintained in the facility. LPA observed the facility to be fully furnished at the time of the visit. Storage areas for personal hygiene and sharp objects were observed to be appropriately stored and not accessible to residents. The kitchen was inspected, and sufficient perishable and non-perishable food was adequately maintained. A fire extinguisher was fully charged, with mandated yearly maintenance tag dated as 10/20/2023. LPA observed screening protocols for visitors, staff, and residents, and sanitizing stations in common areas and restrooms were available for use and all mandated posters and files were posted. Report continues, see LIC809C. LPAs observed First Aid Kit was maintained. A working landline phone was operational. The facility had operational smoke and carbon monoxide in bedrooms and common areas. An audit of residents #1-#5 (R1-R5) service files and staff #1-#3 (S1-S3) personnel files appeared to be complete. There have been four (4) deficiencies cited during today's visit, see LIC809D. There has been one advisory note provided, see LIC9102TV. An exit interview was held with Rino Santos, House Manager, and a copy of the facilities' appeal rights and this report were provided.