Routine inspection·November 18, 2023

On 11/18/2023 at 2 pm Licensing Program Analyst (LPA) David España conducted an unannounced Required-1-year annual visit. Upon arrival at the facility, LPA España conducted a risk assessment at the front door. Based on the assessment, the facility is clear of Covid-19 infection (No COVID-19 cases). LPA verified that the facility has an approved mitigation plan report. LPA was granted access and allowed to enter the facility to conduct the inspection. The requested capacity is for 6 clients, 1 non-ambulatory, 5 bedridden. Facility has a dementia care plan in place. LPA was greeted and accompanied on inspection by House Manager, Paige Danielle Esquivel. The facility is licensed for a Residential Care for the Elderly (RCFE) and serves age range 60 and over, approved for six (6) non-ambulatory, of which five (5) may be bedridden in rooms #1, #3 and #4 only, hospice waiver approved for five (5). Facility has 4 resident bedrooms, 2 shared bedrooms, 2 private bedroom, each shared room has a half bath ½, living room/dining room and kitchen. Facility is a single-story house. The client bedrooms are spacious and will easily accommodate the client's furnishings. There is a shaded yard with an umbrella, table and chairs. Outdoor passageways, walkways, driveways, steps and patios are free from obstructions. LPA did not observe hazards, such as ladders, gardening tools and/or motorized equipment in the front, back and/or side areas of the facility. LPA observed four resident bedrooms, three bedrooms are for bedridden and one bedroom is for non-ambulatory. Bedroom 2 has two beds, two chairs, two nightstands, overhead lighting, closet and two dressers with several drawers. Bedrooms 1 and 4 have one bed, one chair, one-night stand, overhead lighting, closet or wardrobe and a dresser with several drawers. Bedrooms 2 and 3 have two beds, two chairs, two nightstands, overhead lighting, and dressers with several drawers. All drawers comply with the requirement of 8 cubic feet of space and there was ample closet space. Continued on 809-C There are grab rails next to both the toilets and the showers as well as nonskid mats in showers. LPA observed adequate lighting in hallway leading to bathrooms via nightlights. The facility has an activity calendar and provides puzzles, origami, painting, other games and papercrafts as well as a karaoke machine, and chair dancing. Outside activity area is properly enclosed with self-closing latches and all doors have auditory devices to monitor exits. LPA's did not observe any pets or bodies of water at the facility. Fire Clearance was approved on 6/16/2021 for 5 bedridden client and 1 non-ambulatory clients with rooms one (1), three (3) and (4) four approved for bedridden. The fire drill was conducted on 10/16/2023. LPA did not observe pad locks or other mechanisms which may be obstructions for safe and quick egress during an emergency on side gates and front exits. All mandated inspection control posters were posted. No deficiencies were observed during today's inspection. An exit interview was conducted with House Manager, Paige Danielle Esquivel and a hard copy of the report was furnished.