Routine inspection·September 30, 2024

On 09/30/2024 at 09:11am, Licensing Program Analyst (LPA) Zina Brown conducted an unannounced visit to the above facility. The purpose of today’s visit was to conduct the one year inspection. LPA met with Jose Urmana , Administrator and the purpose of the visit was discussed. The facility is licensed to serve 6 non- ambulatory of which 1 may be bedridden (bedroom #5 approved for bedridden) and approved for two (2) hospice waivers. The two (2) of the residents are diagnosed with dementia, two (2) hospice, one (1) home health resident and zero (0) bedridden resident. The facility does not handle any of the residents’ money. The facility have a balance of $0 for annual fees. The last fire drill was conducted on 03/13/2024. The Certificate of Liability is valid from 08/01/2024 - 08/01/2025. The home is a single story home consisting of: (6) resident bedrooms, (4) full bathrooms, living room, kitchen with dining area, laundry room (located in the hallway) and an outdoor shaded patio area. LPA Brown toured the resident bedrooms had the required furniture, bed linens and closet/drawer space to accommodate each resident comfortably. 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, water temperature measured in kitchen at 111.3F and bathrooms #1 - # 4 at 115.1 F. 111.4, 109.9 F, 110.0 F. Resident bath towels, toiletries and personal hygiene supplies were adequately stocked. Common areas were clean and clear of hazards; doorways were free of obstructions. Kitchen was checked and observed to be within Title 22 regulations. Perishable and non-perishable food supply was checked. All cleaning solutions, hazardous items, and medications were securely locked and inaccessible to residents. Smoke detectors were working properly, and fire extinguisher was fully charged. Carbon monoxide detector was operational. First Aid kit was available. Outside grounds were toured and no bodies of water were observed. Walkways around the home were clear of hazards. There are no security bars or weapons on the premises. Discrepancies were observed and documented on 809-D page . An exit interview conducted, appeal rights explained, and a copy of this report was provided.