Routine inspection·June 24, 2023

On 06/24/23, Licensing Program Analyst (LPA) Ernand Dabuet conducted an unannounced annual required visit using the CARE Inspection Tool. LPA met with administrator Karla Stein. LPA explained the purpose of today’s visit. The facility is licensed to operate for (6) ambulatory of which (6) maybe non-ambulatory elderly adults ages 60 and above. Currently, the facility has (1) hospice residents in care. The facility is approved for (2) hospice resident. The facility is a single-story structure located in a residential neighborhood. It consists of the following: (6) residents' rooms, (3) bathrooms, a living area, a dining area, a kitchen, an outside seating area, and a garage used for storage. 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, lighting was provided, and storage for the resident's personal belongings was observed. Bed linens, comforters, and bath towels were available during the visit. Bathrooms were operational with water temperature measured at 106.8 – 114.4 degrees F. A comfortable temperature of 74 degrees F was maintained in the facility. LPA observed the facility to be furnished at the time of the visit. Storage areas for personal hygiene and sharps objects were stored and not accessible to clients. The kitchen was inspected, and sufficient perishable and non-perishable food was maintained adequately. The facility maintained an emergency food and water supply. Fire extinguishers were charged. A review of the Medication Records Administration (MAR) was observed to be maintained in place. (Evaluation Report continues LIC 809-C) During the visit, LPA observed the facility's infection control practices. LPA observed screening protocols for visitors, staff, and residents, and sanitizing stations in common areas and restrooms. LPA observed the facility has a 30-day supply of Personal Protective Equipment (PPE). All mandated inspection control posters were posted. LPA observed First Aid Kit was maintained. A working landline phone was operational. The last fire drill was conducted on 06/09/23 and the earthquake drill on 06/09/23. The facility had operational smoke and carbon monoxide in bedrooms and common areas. An audit of resident #1-#6 (R1-R6) service files and staff #1-#4 (S1-S4) personnel files revealed to be complete. The facility does not handle resident’s finances. Interviews were conducted with (6) residents and (3) staff. The facility has the current administrator's certification on file for Karla Stein #6025974740 Exp. 03/22/2025 and Mart Pamintuan #6019786740 Exp. 05/23/2024. The annual license fees are overdue, and an invoice copy is left with Karla Stein. No deficiencies during this inspection visit. An exit interview was conducted with Karla Stein and a copy of the report was provided.