Routine inspection·July 19, 2024

On 7/19/2024, Licensing Program Analyst (LPA) Janette Romero conducted an unannounced visit to the facility for a required annual inspection. LPA met with Administrator, Danny Vera who was informed of the purpose of the visit. The facility has a fire clearance for 104 non-ambulatory residents of which six (6) may be bedridden. The facility also has an approved hospice waiver for 20 residents and LPA was informed there are seven (7) residents currently on hospice. LPA toured the facility with Administrator Vera and observed the facility is made up of a two-story building designated for assisted living. During the tour, LPA observed the facility has a large dining room, kitchen, courtyard, and several activity rooms. LPA toured the kitchen and observed food was stored in a safe and healthful manner. The facility met Departmental requirements for a 2-day supply of perishable food and 7-day supply of non-perishable food items. LPA observed a cork board in the kitchen identifying residents with special dietary needs/requests. LPA toured a sample of resident rooms and observed rooms had the required furniture and lighting. Resident bathrooms had toilet paper, towels and soap readily available. LPA was informed medications are secured in medication carts, only accessible to authorized personnel such as wellness nurses and medication technicians. LPA observed fire alarm systems and carbon monoxide detectors throughout the building along with charged fire extinguishers serviced on 4/2/2024. Indoor and outdoor passageways are free of obstruction. The courtyard offers shaded seating for the residents. No bodies of water were observed on the premises. LPA was informed the facility offers outings once a week and recreational activities throughout the week. LPA reviewed random staff and resident files. Resident files reviewed had signed admission agreements and updated Physician's Reports (LIC 602A). Staff files reviewed had a criminal record clearance and a valid first aid/CPR certification . During today's visit, LPA did not observe any issues or concerns. An exit interview was conducted where this report was reviewed and provided to Administrator Vera.