Routine inspection·October 10, 2024

On 10/10/2024, at 10:15PM Licensing Program Analyst (LPA) Troy Watson conducted an unannounced annual required visit using the CARE Inspection Tool. LPA met with the Assistant Administrator Muriel Cabacungan. LPA Troy Watson explained the purpose of today’s visit. Facility is licensed for (44) non-ambulatory residents and (4) bedridden residentS. The facility has an approved hospice waiver for (15) residents.The facility consists of (22) resident bedrooms, (22) bathrooms, (1) living room, (1) dining room, and (1) kitchen and one laundry area. LPA Watson toured the physical plant with the Assistant administrator. There were no bodies of water or obstructions on the premises. A total of (22) rooms were inspected. Beds and bedding supplies were in good condition, adequate lighting was provided, and storage for the resident’s personal belongings was observed. Bathrooms were found to be within Title 22 regulations and were operational. LPA inspected the carbon monoxide detector and found that it wase in operable condition. The water temperature properly measured between: 114°F and 116°F, between the bathrooms and in the kitchen. Evaluation Report Continues LIC 809-C LPA Troy Watson observed the facility to be clean, sanitary, and appropriately furnished at the time of the visit. Storage areas for personal hygiene were observed. Sharps objects and cleaning agents were locked and not accessible to residents. The kitchen was inspected and there is sufficient perishable and non-perishable food available at the property. All fire extinguishers were charged and were operable. A review of (7) residents' service files, (5) staff personnel files were reviewed. LPA checked (7) Medication Administration Records (MAR) and no discrepancies were found. The first AID kit was checked and contained the correct manual. Last facility disaster drill was held in August 2024. LPA observed the facility's infection control practices. And a copy of the liability insurance was on file. An exit interview was conducted, and a copy of the Facility Evaluation Report was provided to Muriel Cabacungan.