Routine inspection·February 25, 2025

Licensing Program Analyst (LPA) Christian Gutierrez conducted the annual inspection using the Compliance and Regulatory Enforcement (CARE) tools. LPA met Caregiver Marivic Vigilla at approximately 12:00 PM and explained reason for visit. Administrator Tiffany Vander Poorten arrived shortly. The facility is licensed to serve 6 non-ambulatory residents aged 60 and over with hospice approved for six. Currently, there are three (3) residents on hospice The facility is in a residential area, and it is a one-story family home. A tour of the single-story facility included the living room, family room, kitchen, 4 resident bedrooms, 1 staff bedroom,3 bathrooms, laundry area, front yard, backyard, and detached garage. All resident bedrooms were toured. Each bedroom has a bed, linen, dresser, light, and sufficient closet space. The resident bathrooms have the required grabs bars and non-skid mat. The hot water was 126.5, 126.5, and 125.9 degrees not within the required 105 - 120 degrees. Cleaning supplies were observed to be accessible to residents under bathroom sink. The kitchen was inspected. There is sufficient non-perishable food. It was observed that facility did not have enough two-day perishable food. All the appliances are clean and seem to be operating properly. The common areas include the living room and dining area. These areas are clean and have the required furniture. LPA reviewed 6 resident records to confirm emergency contact is updated and residents have health screenings on file. Four staff records were reviewed to confirm health screenings, training and fingerprint clearances. LPA reviewed 6 residents' medications. Medications are documented properly and given as prescribed. Deficiencies noted. Exit interview and a copy of this report, 809D and appeal rights was provided to Administrator.