Routine inspection·July 22, 2024

On 7/22/2024, Licensing Program Analyst (LPA) Janette Romero conducted an unannounced visit to the facility for a required annual inspection. LPA met with Licensee, Maria Go who informed of the purpose of LPA's visit. The facility has a fire clearance for six (6) non-ambulatory elderly residents and an approved hospice waiver for three (3). LPA toured the facility with Licensee and observed the facility is made up of a one-story home with three (3) resident bedrooms, two (2) bathrooms, two (2) staff rooms, a kitchen, dining room and attached garage. During LPA's visit, the current resident residing in the facility was sleeping. Therefore, LPA did not request for Licensee to test the smoke alarms/carbon monoxide detectors. LPA reviewed the facility's "Monthly Fire Drill/Alarm & Smoke Detector Test Record - Yearly" noting the smoke alarms/carbon monoxide detectors were tested by the local fire department on 11/8/2023. LPA also observed a charged fire extinguisher mounted in the kitchen, which was serviced on 6/22/2024. Indoor and outdoor passageways were free of obstruction. The facility has outdoor shaded seating for the resident in care. No bodies of water were observed on the premises. Medications are secured in a locked dining room cabinet. LPA reviewed the current resident's medication administration record along with their physical medications and did not discover any discrepancies. LPA also reviewed the resident's file, which obtained the Department's required records. Resident bedrooms had the required furniture and lighting. Bathrooms had grab bars near the toilet and in the shower. LPA toured the kitchen and observed the facility had more than a 2-day supply of perishable foods and 7-day supply of non-perishable food items. During today's visit, LPA did not observe any issues or concerns. An exit interview was conducted where this report was reviewed and provided to Licensee.