Routine inspection·January 31, 2024

On 01/31/2024 at 8:48 AM, Licensing Program Analyst (LPA) Regina Cloyd conducted an unannounced Required – Annual Inspection and met with Staff Natalia Torres. Administrator Bessie Coello joined us 20 minutes later. Six (6) residents and three (3) staff were present during this inspection. Facility is licensed to serve six (6) non-ambulatory residents in which one (1) may be bedridden. Facility may accept or retain six (6) residents on hospice. Facility is a (4) bedroom, (3) bathroom, single house, 1 staff office, living and dining room, kitchen, 1 linen closet and a (2) car de-attached garage. There is a large outdoor shaded patio area. The client bedrooms are spacious and will easily accommodate the client's furnishings. All passageways, walkways, driveways, steps and patios are free from obstructions. Staff accompanied LPA inside and outside the facility during this inspection. Outside grounds were toured and no bodies of water were observed. Walkways around the home were clear of hazards. Resident bedrooms had the required furniture, bed linens and closet/drawer space to accommodate each resident comfortably. There are no security bars or weapons on the premises. Resident bathrooms were checked. Toilets and water faucets worked properly, grab bars were secure, shower was free of mold/mildew and a non-skid mat was in place. Resident bath towels, toiletries and personal hygiene supplies were adequately stocked. Common areas were clean and clear of hazards, doorways were free of obstructions. LPA toured the kitchen area and observed a two-day supply of perishable and a seven-day supply of non-perishable food. Knives and toxics were kept in locked storage cabinet. First Aid kit was available. One fire extinguisher was observed in the kitchen area and in the office. 5 staff records were reviewed, 5 out of 5 staff records had required criminal record clearances or criminal record exemptions. Two staff interviews were conducted. 5 resident records were reviewed and, 5 out of 5 resident records had Medical Assessments. Two residents’ medication was reviewed. Two residents were interviewed. No deficiencies are being cited. An exit interview was conducted and a copy of this report was discussed and left with the Administrator Bessie Coello.