Routine inspection·September 20, 2024

On 9/20/2024 Licensing Program Analyst (LPA) B. Miranda arrived unannounced at the facility listed above to conduct an Annual Inspection. LPA introduced self, stated the purpose of the visit, and was granted entry to the facility. Staff stated April Gaylord is the Administrator and was contacted. April asked if she needed to be at the facility and LPA informed it is not require and staff will be asked to sign the report. LPA toured the facility inside and out including entry, kitchen, dining, living room, bedrooms, bathrooms, and exterior. LPA observed the facility to be at a comfortable temperature, clean inside, and odor free. Inside the facility is free of debris and no passageway obstructions were observed. Common areas were properly furnished and well-lit throughout. LPA observed debris outside the facility and outside not being maintained. LPA observed storage shed to be open and accessible which has tools and other hazard items. LPA observed one medication cabinet to be unlocked and accessible to residents. One drawer in the kitchen has a razor/box cutter accessible to residents. Exits of the facility did not have auditory alarms and kitchen cabinets are dirty. Facility capacity is 11, with a current census of 7. Facility has 9 bedrooms and 4 bathrooms. At this time the current residents do not share bedrooms. Fire extinguishers were last serviced 5/2/23, there is still charge. Smoke detectors and carbon monoxide detectors were tested and 1 carbon monoxide detector is not working. Water temperature was checked in the kitchen and read at 107.9 degree Fahrenheit, one common resident's bathroom was checked and read at 116.8 degree Fahrenheit. Inspecting kitchen LPA observed the required 7-day supply of non-perishable food and 2- day supply of fresh perishables food items to be properly stored. Knives & cleaning supplies were observed to be locked and inaccessible to residents. LPA reviewed a sample of resident files and was not able to review staff files or listed Administrator's file Lucy Leang. LPA observed residents physician reports to be over a year old and not current. Facility did not have infection control plan, liability insurance, plan of operation, plan of operation with dementia, current resident roster available at the facility for LPA to review. LPA conducted multiple interviews with residents who stated they are happy at the facility, feel safe, and love the food. Follow-up visit will be conducted to complete annual inspection. Deficiencies will be cited during the follow-up visit. Exit interview was conducted and a copy of this report LIC809 was provided to Staff Heidy Campos.