Routine inspection·March 27, 2024

Licensing Program Analyst (LPA) Dwayne Mason Jr. arrived at the facility unannounced for the purpose of conducting a required annual inspection. LPA was greeted and granted entry into facility by Administrator (AD) Vivien Ruedas. The facility is a one-story home with four client bedrooms, one client bathroom, kitchen, dining room, living room, staff room with staff bathroom, backyard and attached 2-car garage. Facility appears clean, safe and sanitary. All residents rooms had required elements, including bed, chair, closet space and ample lighting. One client room's light was not working. AD stated an electrician began work on the light the week prior to the LPA's visit. AD stated the electrician would be back out the upcoming weekend to continue working on the resident's light. Facility has extra linens for clients in the hallway closet. Restroom is stocked with soap and paper towels and has hand-washing postings. Hot water measured at 114.8 degrees Fahrenheit in the client bathroom. LPA observed facility has emergency food and water supply. LPA observed the fire extinguisher was last serviced in May of 2023. LPA observed hazardous items such as knives, chemicals and cleaners to be locked up in cabinets in the kitchen and the garage. Knives are locked up separate from toxic chemicals. Medication for each resident is kept locked in a cabinet in the kitchen. The backyard has a shaded sitting/lounging areas. Exit gates are unlocked and self latching. LPA observed exit gates to be unobstructed. LPA reviewed all four client files and the staff files. LPA interviewed one staff and one resident. Based on record review, LPA determined the facility does not have a record of an Emergency Disaster Plan, drills conducted in the last year or a current CPR certification for any staff. Based on today's inspection four deficiencies are being issued. An exit interview was conducted with the Administrator and a copy of this report, deficiency pages and appeal rights were provided to the facility.