Routine inspection·May 9, 2023

Licensing Program Analyst (LPA) Jose Villalobos, conducted a required annual inspection using the Inspection Tool. LPA met with Administrator Levita Maghirang and the purpose of the visit was discussed. As a part of the inspection toured the physical plant. LPA conducted a review of four (4) resident files and four (4) staff files. LPA conducted a review of medications for four (4) residents. All medications and records are maintained in compliance with label instructions and centrally stored. The home consists of (4) resident bedrooms (2) bathrooms. (1) living rooms, kitchen, dining area, laundry area. A garage is being used for storage for supplies. During the inspection LPA observed the resident rooms with required furniture, adequate lighting present, plenty of dresser/closet space is present, and all bed linens present. LPA observed fully stocked bedding and towel in closets. All bathroom fixtures are in working condition. LPA observed sufficient bedding, linens, and toiletries are accessible to residents. Water temperature properly measured within Title 22 regulations. LPA observed perishable and non-perishable food supply. LPA tested facility Carbon Monoxide and Smoke Detectors and are working properly. The facility has (2) Fire Extinguisher fully charged. All disinfectants, cleaning solutions and toxins were in locked cabinets. Medications are centrally stored in locked cabinet inaccessible to residents. Facility first aid kit was checked and in compliance. Outside grounds were toured and no bodies of water were observed. Fireplace closed and inaccessible to residents. All Exits/ Walkways around the home were free of debris and hazards. The facility has a functional operating landline telephone. Required postings observed. Inspection tool was completed and LPA observed a deficiency; therefore, a citation is being issued per Title 22 Regulations. Please see LIC 809-D Exit interview was conducted, and a Facility Evaluation Report was provided. Appeal rights discussed and provided.