Routine inspection·July 24, 2024

Licensing Program Analyst (LPA) J. Macias arrived unannounced to conduct a required Annual inspection and was greeted by Administrator Leonardo Lalim. Facility contact information was reviewed. All fees paid and current. Currently six (6) residents in care. Facility has an approved fire clearance for six (6) non-ambulatory residents. There are 2 shared rooms and 2 private rooms. The facility has required emergency disaster plan. At approximately 1:30pm LPA and Administrator toured the building and grounds. The facility was found to be clean and at a comfortable temperature. LPA observed at least a 2 day supply of perishable and 7 day supply of non-perishable food. Food was found to be stored in a safe manner with open items covered and dated. Kitchen drawer with sharp knives was locked. Cleaning supplies were locked underneath kitchen sink and inaccessible to residents in care. All bedrooms were equipped with lighting, night stand, and chest of drawers per regulation. All bedrooms were clean and in good repair. Restrooms were equipped with necessary grab bars and non-slip bath mats. Extra hygiene products and linens were secured and readily available. Water temperature in sink accessible to residents in care measured at 108.6 and 110.8 degrees F, which is within the allowable range of 105 to 120 degrees F per regulation. Fire extinguishers were last inspected September 25, 2023. Smoke/Carbon Monoxide detectors located throughout the facility were tested and operational. Facility’s last quarterly disaster drill was conducted July 19, 2024. At approximately 2:00pm, LPA reviewed three (3) staff records. All staff files were found to be complete with all required documentation. First Aid and CPR certifications were all current. At approximately 2:30pm, LPA reviewed five (5) resident files which were all found to be well organized, thorough, and contained the required documentation At approximately 3:00pm LPA and Administrator conducted a spot check of medication and medication records. Medication is centrally stored in a locked cabinet drawer. No deficiencies. Continued on 809C... Continued from 809... Updated copies of the following documents were requested for facility file and are to be submitted to CCL within 30 days of this visit: 8/24/2024 LIC500- Personnel Report LIC308- Designation of Responsibility Liability Insurance LIC 610 Emergency Disaster Plan (If changes) Infection Control Plan (If changes) No deficiencies cited during this inspection. Exit interview conducted with Administrator and a copy of this report was given.