Routine inspection·March 19, 2025

At 8:50 AM, Licensing Program Analyst (LPA) Bernadette Allen conducted an unannounced visit to conduct an annual inspection. LPA Allen was greeted by Francisco Orozco-Maintenance Director upon arrival. LPA introduced herself and explained the purpose of the visit,to Francisco Orozco who granted access into the facility. At 9:00 AM, Nathaniel Venzon- Administrator arrived and he was informed of the purpose of the visit. The facility is licensed to serve at the capacity of (174) age range 60 and over adults. The fire clearance is approved for (150) non-ambulatory, (24) bedridden residents and hospice waiver for 30. At 9:25 AM LPA reviewed ten (10) clients files for admission agreements, updated physician reports, and needs and services plans which were up to date. At 10:15 AM, LPA and Francisco Orozco toured the physical plant. There were no bodies of water or obstructions in the indoor and outdoor passageways, stairways, open areas, and other areas of potential hazard are free of obstructions. LPA also observed the common areas to have furniture that appeared to be in good repair and sufficient for clients and visitors. The facility also has a shaded patio area for smoking and non-smoking with seating that can accommodate clients and visitors. The fire extinguishers were fully charged, and the last fire drill was conducted on 2/28/2025. LPA toured five (5) bedrooms downstairs and five (5) bedrooms upstairs which all have the required furniture,storage areas, and the bathrooms appeared to be clean and operational. LPA and Francisco tested the water temperature in the ten (10) bedrooms which ranged from 105-115 degrees F. At 11:45 AM, LPA, conducted a tour of the kitchen and there was a menu available for review and there appeared to be enough perishable and non-perishable food available, which is stored properly and appeared to be sufficient for the number of clients in care. At 12:43 PM, LPA reviewed ten (10) staff files for First Aid/CPR certification, criminal record clearance, training's, and health screenings which were all current. At 1:21 PM, LPA conducted a random audit for 6 (six) clients medications that appeared to be dispensed as prescribed by their physician and they were centrally stored and properly locked. The first aid kits and manual were checked and fully stocked . LPA observed that all window screens were clean and in good repair. Facility temperature is between 68° degrees and 85° degrees. Overall, the facility appeared to be clean, sanitary, and in good repair. Based on the observations made during today’s visit, no deficiencies were cited. An exit interview was conducted, and this report was discussed and provided to Nathaniel Venzon- Administrator at the conclusion of the visit.