Routine inspection·May 6, 2022

Licensing Program Analyst (LPA) Jenifer Tirre conducted an unannounced visit for the purpose of conducting a required annual visit. LPA was greeted, granted entry into the facility by Staff and explained the reason for the visit. At 1:20 PM LPA toured the facility with Caregiver Julieta Salo. During visit House Manager Sharon Pajarillaga and Administrator Sarah Wilkes arrived during visit. Facility is a 6 bedroom,( 5 resident bedrooms 1 staff bedroom) and 2 bathroom single story home. There are 6 Residents in care. LPA observed proper Covid signage at front entrance of facility as well as a sign in, sanitization and temperature check station. Facility has required Department postings. LPA observed copy of Administrators Certificate expiring 9/7/2023. LPA toured all Residents rooms, all rooms where within regulations. All restrooms observed contained soap, toilet paper, paper towels and a working water basin. Restrooms had proper hand washing signs posted. Residents were observed relaxing in the Living room watching TV. Facility has smoke detectors, carbon monoxide detector and audible alarms for each sliding door entrance/exit. Facility has 1 fire extinguisher which is mounted and fully charged. Facility has emergency food and water supply. Facility has supply of PPE. Facility has required Emergency Disaster Plan posted. Facility has a secured location for resident medication and files. Facility has 30 days supply of medications for residents. LPA reviewed residents files during visit. LPA reviewed 6 of 6 resident files. Residents emergency contact information and Physicians reports are current. Facility has several designated visitation areas. No deficiencies noted during todays visit. An exit interview was conducted with House Manager and Administrator. A copy of report was left at facility.