Routine inspection·October 14, 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 at the facility by Benjamin Aguila, Caregiver. Florence Tolentino, Administrator joined the inspection as well. LPA explained the purpose of the inspection. The facility is one-story home with four resident bedrooms, three resident bathrooms, kitchen, dining room, living room, staff room, attached 2-car garage and backyard with pool. Pool is enclosed on all four sides. One side is enclosed by a brick wall separating the yard from a neighboring yard. The other three sides are enclosed by an iron fence with a gate. The gate to the pool remains locked and the pool is currently empty. Facility interior appears clean, safe and sanitary. LPA observed unused exercise/cleaning/renovating equipment in the backyard. A citation is being issued. LPA observed facility has the necessary postings posted on the walls. All resident rooms had the required elements, including bed, chair, closet space and ample lighting. Facility has extra linens and hygiene supplies for residents in hallway cabinets. Restrooms are stocked with soap and paper towels and have hand washing postings. Hot water measured between 105 and 120 degrees F. LPA observed facility has emergency food and water supply. LPA observed the fire extinguisher was serviced on 9/12/2023 according to the attached service tag. A citation is being issued. Smoke/Carbon Monoxide detector were tested and noted as operational. LPA observed hazardous items such as knives, chemicals and cleaners to be locked up in the kitchen and garage. Knives are locked up separate from toxic chemicals. Medication for each resident is kept locked in a closet in the facility. Exit gates are unlocked. LPA observed exit gates to be unobstructed. Based on Record Review, LPA determined, the facility's Plan of Operation is not stored in the facility. A citation is being issued. LPA reviewed three resident files and three staff files. LPAs also reviewed medication for three residents. LPA interviewed one staff and one resident. Based on today's inspection, three citations and four technical assistances are being issued. An exit interview was conducted and a copy of this report, deficiency page and appeal rights were provided to the facility.