Routine inspection·May 9, 2024

Licensing Program Analysts (LPAs) Celine De Perio and Michael Tea conducted an unannounced required annual inspection. LPAs explained reason for visit and was greeted and granted entry by facility administrator (AD) Aida Martires. The PUB475 "See Something, Say Something" poster was observed in the living room. LPAs observed the Administrator's Certificate for Aida Martires, which expires on 3/23/25. LPAs toured the interior and exterior portions of the facility with AD. The facility is a single level structure and is licensed for 6 non-ambulatory residents, of which 6 may be on hospice. For this visit, there are a total of 5 residents in care, of which 4 on hospice. There are a total of 5 bedrooms, of which 4 are private resident rooms, 1 shared resident room, and 1 room designated for staff. LPAs toured each bedroom in the facility and observed that bedrooms were provided with furniture in good repair, clean linens, adequate storage space, and kept free of tripping hazards. LPAs observed that there is a basement that is used as a facility office. Smoke and carbon monoxide detector and auditory exit alarms were tested and operational. There are a total of 4 restrooms. Restrooms were observed to be in good repair, toilets were operational, and grab bars and non-skid floor mats were provided. Water temperature was measured to be at 106.8 degrees Fahrenheit. Facility met the minimum two-day perishable and seven-day non-perishable food supplies. Sharp items and knives were locked and inaccessible to residents in care. Fire extinguisher was charged, mounted and located in the living room. LPAs observed the emergency disaster and evacuation plan, which is located in a cabinet in the kitchen. Facility had back-up emergency food and water supply, located in the kitchen, in the garage, and in the basement. LPAs observed that First Aid Kit had all the required components. Medications were locked in a kitchen cabinet. Toxins were also observed to be locked and inaccessible to residents. For the exterior portion, LPAs observed patio furniture under shading, and the grounds were free of any hazards. There are 3 gates in the backyard, which were self-closing and self-latching. No bodies of water were observed. For today's visit deficiencies were issued. LPAs conducted an exit interview was conducted with AD Martires. A copy of this report was provided and explained.