Routine inspection·September 17, 2024

Licensing Program Analyst (LPA) Cynthia Chan conducted an annual inspection on 9/17/24. LPA arrived unannounced and met with Staff, Alvin Arbis. The purpose for the visit was explained. Administrator, Michelle Aguirre, arrived shortly after to assist with the visit. The facility is licensed for 6 non-ambulatory residents, ages 60 and over. There is a hospice waiver for 4 residents. LPA inspected the facility using the Compliance and Regulatory Enforcement (CARE) tools. The facility consists of 3 resident shared bedrooms, 1 staff room, 2 1/2 bathrooms, living room, dining room, kitchen, laundry area, and detached garage. There are no swimming pool or bodies of water on the premises. The bedrooms have the required furniture, storage space, and sufficient lighting. The spacious backyard has a shaded area for residents. There is an operable carbon monoxide detector and smoke detectors throughout the home. Knives and cleaning supplies are locked. There is sufficient space to accommodate indoor and outdoor activities. Facility has 2 day perishable and at least a week of non-perishable food. There are currently 6 residents residing at the facility. LPA reviewed all the residents files and the required documents are maintained in their files. Medications are centrally stored and inaccessible to residents. There were no discrepancies found for the meds. The personal rights, complaint and ombudsman posters are posted in a prominent area. LPA reviewed 3 staff files. The administrator's (Michelle Aguirre) certificate expired on 8/28/24. Per the Administrator, she is still in the process of completing the courses to renew the certificate. Staff have current CPR & First Aid certificates. LPA provided technical advisories on annual training for staff. Facility has the Emergency Disaster Plan posted. LPA issued a technical advisory on emergency drills in order to satisfy the requirement. A deficiency was issued today. An exit interview was held and a copy of this report and technical advisory notes were given to the staff.