Routine inspection·August 9, 2024

Licensing Program Analyst (LPA) Christian Gutierrez conducted an unannounced Annual Required Visit at 1:07 PM. LPA was met by Care giver Melba Fojas and explained the purpose of the visit. Administrator Apoloni Santos arrived shortly. Facility is licensed to serve residents over 60 years old six (6) can be non-ambulatory, of which two (2) may be bedridden in room #3. During today’s visit it was observed facility had bedridden resident in room one. Deficiency and civil penalty assessed. The facility is a single-story home, located in a residential area. The home consists of a living room, (4) residents’ bedrooms, (1) staff room, (2) resident bathrooms, a kitchen, dining room, attached garage, and shaded patio with seating in the backyard. LPA toured the facility and observed the following: Each client bedroom has the required furniture and bedding. There is extra clean linen and towels in a hallway closet. Smoke detectors were observed in each room and throughout the facility and are properly operating. There is 1 carbon monoxide in the hallway and is properly operating. The facility has two (2) fully charged fire extinguishers which is kept in the kitchen and hallway. Cleaning supplies and toxic substances were observed to be inaccessible to clients and locked in kitchen cabinet. Freezers are maintained at a temperature of 0-degree F and the refrigerators at a maximum of 40 degrees F. Sufficient supply of 2 days perishable & 7 days non-perishable foods was observed in the kitchen. Sharps are locked and placed in cabinet in kitchen. There are no firearms or weapons stored at the facility. The hot water temperature in the bathrooms were measured between the required range of 105-120 degrees F. The facility does not have a swimming pool or bodies of water on the premises There is a shaded seating area for the residents located in the backyard. Passageways and exits are free of obstruction. The garage is clean and has extra supplies. SEE LIC 809C Four (4) Staff files were reviewed and included Criminal clearance record, CPR/training, and health screening with TB. Six (6) Client files were reviewed and included physicians report, TB clearance. Fire/earthquake was conducted on 06/02/2024. Infectious control plan was reviewed. The medications are centrally stored and locked in a closet at entryway of home. The facility uses the Medication Administration Record (MAR) log to document medications given. LPA reviewed medications for all clients, and they are being administered as prescribed by the physician. Deficiencies have been noted on LIC 809D under Title 22 Regulations. Exit interview was conducted and a copy of this report, LIC 809D and appeal rights were provided to Apoloni Santos.