Routine inspection·November 18, 2024

11/18/2024, Licensing Program Analyst (LPA) Loera conducted an unannounced Annual Required – 1 yr. inspection visit for this facility. Facility has an emergency disaster plan as required. Facility has an infection control plan as required. There are currently 6 residents in care. LPA was greeted by staff member, Michell Literato. Administrator, Bella Nacho arrived shortly after. Facility approved/cleared for 6 non-ambulatory, and hospice waiver for 3. At approximately 1:50 pm, LPA and Administrator toured the building and grounds. The facility was found to be at a comfortable temperature. LPA observed a 2 day supply of perishable and 7 day supply of non-perishable food. Medications were found to be centrally stored. All rooms were equipped with lighting, night stand, and chest of drawers. All rooms were in good repair. Extra hygiene products and linens were available and located in the hallway closet. Water temperature in sinks accessible to residents in care were measured at 106.4 and 114.6 degrees F within the range of 105 to 120 degrees F. Fire extinguishers were last inspected 08/2023 and were found to be charged. Smoke/Carbon Monoxide detectors located throughout the facility were tested and operational. Facility conducts quarterly fire and emergency evacuation drills with the last one being conducted on 09/07/2024. Toxins, sharps and other items that could pose threat if available to residents were located under the kitchen sink and were found to be secured. LPA conducted spot medication count and found all prescription medication to be properly recorded on the Centrally Stored Medication Record. LPA conducted a review of 4 resident records. All records had the required documentation. LPA conducted review of 3 staff records/training. Upon a review of staff records, LPA found all staff to have required annual and initial training as well as current 1st Aid & CPR certification on file. continued on LIC809-C No deficiencies cited during today's inspection . Updated copies of the following documents were requested for facility file and are to be submitted to CCL within 30 days of this visit: LIC500- Personnel Report LIC308- Designation of Responsibility Liability Insurance Current Lease Exit interview conducted with Administrator and a copy of this report was provided .