Routine inspection·May 10, 2024

Licensing Program Analysts (LPAs) Dwayne Mason Jr. and Faith La arrived at the facility unannounced for the purpose of conducting a required annual inspection. LPAs were greeted and granted entry into facility by Karen Moralde and John Moralde, Caregivers. Facility Administrator Carol Wilson joined the inspection after the tour. The facility is a one-story home with six client bedrooms, one staff room, three bathrooms, kitchen, dining room, living room, TV room, backyard and attached 2-car garage. LPAs noted there are two vacancies at the facility. All four residing residents were present. All client rooms had required elements, including bed, chair, closet space and ample lighting. Facility has extra linens for residents in the hallway closet. Restrooms are stocked with soap and paper towels. LPAs measured water all three bathrooms. LPAs measured hot water to be 109.8, 114.2 and 110.5 degrees Fahrenheit in the three bathrooms. LPAs noted Fire Extinguisher was last serviced on 04/22/2024. LPAs observed hazardous items such as knives, chemicals and cleaners to be locked up in cabinets in the kitchen. Knives are locked up separate from toxic chemicals. Medication for each client is kept locked in a kitchen cabinet. The backyard has a shaded sitting/lounging area. Exit gate is unlocked. LPAs observed exit gate to be unobstructed. LPAs reviewed two of the four resident files and three staff files. LPAs also reviewed medication for two out of four clients. LPAs interviewed two residents and two staff. LPAs issued Technical Assistances (TA) to advise the facility to maintain a plan of operation including a dementia care plan and bedridden care plan. Based on record review, LPAs determined that only one disaster drill was conducted and documented at the facility in the last year. Two deficiencies are being issued based on today's inspection. An exit interview was conducted and a copy of this report and appeal rights were provided to the facility.