Routine inspection·April 11, 2025

On 04/11/2025 around 8:40 AM, Licensing Program Analyst (LPA) Jose Anguiano and LPA Socorro Leandro, conducted an unannounced annual required visit using the CARE Inspection Tool. LPAs met with the Administrator Eleanor Barrientos explained the purpose of today’s visit and LPAs were allowed entrance to the facility. The facility is licensed to serve a total of 84 residents of which 64 may be non-ambulatory, 20 may be bedridden, and 10 may be on hospice. The facility consists of the following: LPAs toured facility Kitchen, Dining Room, Living Room, the facility is a one-story building located in a main street. The building consists of 42 resident bedrooms, several bathrooms, 1 tv room, 1 activity room, 1 dining room, 1 industrial kitchen, several offices, several storage rooms, and several outside patios with shaded seating. LPAs toured the physical plant. There were no bodies of water on the premises. 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. Bed linens, comforters, and bath towels were stocked during the visit. Bathrooms were operational. Hot water temperature measured at 130 degrees F to 91 degrees F between 2 bathrooms that were tested. LPAs observed the facility to be furnished at the time of the visit. Storage areas for personal hygiene, cleaning supplies, toxins, and sharps objects were stored and not accessible to residents. The kitchen was inspected, and 2 days supplies perishable, and 7 days non-perishable food was maintained. Fire extinguishers were charged, and smoke detectors and carbon monoxide were operable in each resident's room. A review of the Medication Records Administration (MAR) was observed to be maintained in order and accurately. During the visit, LPAs observed the facility's infection control practices. All mandated inspection control posters were posted including Activities Calendar and Food Menu. LPAs conducted an audit of 5 resident records, and 5 personnel records. The administrator certificate is valid. The facility has a Liability Insurance Certificate valid through 03/04/2026. A technical assistance is being provided regarding the posting of Complaint Information (PUB 475*) needs to be resized to 20x26. The Administrator has agreed to resize the poster. Technical Violations are being provided regarding the shower room has a leaky shower head and mold on the walls and hot water temperatures. LPAs observed facility maintenance personnel attempted to adjust the hot water temperature. The Administrator has agreed to deep clean the shower room and conduct maintenance on the shower room’s vent. An exit interview was conducted, and a copy of the report was provided to the Administrator.