Routine inspection·August 30, 2024

Licensing Program Analyst (LPA) Jessica Cho arrived at the facility unannounced for the purpose of conducting the Required 1-Year annual evaluation using the CARE Inspection Tool. LPA met with Administrator Julie Gorordo and explained the reason for the visit. Facility is licensed to serve six (6) non-ambulatory residents and maintains a hospice waiver for six (6). There are six residents in care during today's visit with two caregivers on duty and one reliever staff off duty. LPA conducted a tour of the physical plant. The single story home consists of six resident bedrooms and two resident bathrooms. There are two staff bedrooms and one staff bathroom. LPA inspected all common areas including the attached two car garage. LPA observed the facility to be clean, sanitary, and in good repair. The residents' bedrooms were appropriately furnished. Beds and bedding supplies were in good condition, adequate lighting was provided, sufficient storage space for personal belongings were observed. Bathrooms were found to be in compliance, clean, and operational. The water temperature measured at 114.0 and 113.5 degrees Fahrenheit. Toxins, disinfectants, sharps, and medications were secured and inaccessible. LPA observed sufficient two day supply of perishables and seven day supply of non-perishable food. LPA toured the exterior portion of the facility. LPA observed the outdoor passageway free of obstruction. LPA observed sufficient seating and shading. There was no body of water. A shed in the yard utilized as a storage was secured and inaccessible to residents. Facility maintains a fire extinguisher which was mounted, charged, and serviced on December 15, 2023. The auditory devices and dual-functioning smoke/carbon monoxide detectors were tested and operational. LPA observed the emergency disaster supplies including food/water in the two closets. Emergency evacuation drills are being conducted quarterly. The first aid kit contains all necessary elements. LPA observed the required 'See Something, Say Something' (PUB475) poster in the correct size. The Administrator's Certificate for Arda Kardijian expires on September 19, 2025 and July 17, 2025 for Julie Gorordo. LPA conducted an audit of six residents' files and three personnel files. No discrepancies were noted. Medications were audited for six residents. No discrepancies noted. Staff and resident interviews were conducted. Based on the observations made during today's visit, no deficiency is being cited today. An exit interview was conducted with Administrator Julie Gorordo, and a copy of this report was provided at the end of the visit.