Routine inspection·September 25, 2025

On September 25, 2025, Licensing Program Analyst (LPA) Jenifer Tirre conducted an unannounced required visit using the CARE Inspection Tool. LPA was greeted by staff and granted entry after stating the purpose of the visit. Staff contacted Administrator/licensee Osvaldo Santa ana, LPA talked to Administrator/ Licensee Santa Ana via telephone, who informed LPA they are unable to come down to facility and have assigned Staff member Anita De Ala to assist with inspection visit. The facility is licensed for six (6) non-ambulatory residents with approved hospice waiver for six (6) residents. Currently, there are three (3) Hospice residents present during today’s visit. This is a single story with attached garage facility. The facility has five bedrooms (2 private resident rooms, 2 shared resident rooms and 1 staff room). Facility has two (2) bathrooms. At around 1:15PM, LPA conducted a tour of the physical plant accompanied by staff member Anita De Ala and the following was observed: There were no bodies of water on the premises. All rooms were inspected. Beds and bedding supplies were in operational condition, lighting was provided, and storage for the client's personal belongings was observed. Bed linens, comforters, and bath towels were available. Bathrooms were operational with water temperature measured between 105.8 to 111.3 degrees F. A comfortable temperature of 78 degrees F. was maintained in the facility. LPA observed the facility to be furnished at the time of the visit. Storage areas for sharps objects, and cleaning supplies were secured and not accessible to residents. The kitchen was inspected, and sufficient two day perishables and Seven day non-perishable foods were maintained. CONT ON 809 . Facility has emergency food and water supply. Facility has one fire extinguisher which were mounted and fully charged. A review of the Medication Records Administration (MAR) was conducted, and LPA observed the records are in compliance. During the visit, LPA observed the facility's infection control practices. LPA observed the facility has supply of Personal Protective Equipment (PPE). Mandated inspection control posters were posted. LPA observed First Aid Kit was maintained. The last fire drill was conducted on 9/5/2025. The facility had centrally wired operational smoke and carbon monoxide detectors in bedrooms and common areas. The facility has current liability insurance on file effective 11/24/2024- 11/24/2025 A review of five residents (R1-R5) service files and three staff (S1-S3) personnel files revealed to be complete. The facility has the current administrator's certification on file for Runnette Catibog # 7003096740 - Expiration 10/26/2025. No deficiencies during this inspection visit. An exit interview was conducted with facility representative Anita De Ala, and a copy of the report was provided.