Routine inspection·July 26, 2024

On 7/26/2024, Licensing Program Analyst (LPA) Janette Romero conducted an unannounced visit to the facility for a required annual inspection. LPA met with Licensee Edvin Villagran and Administrator, Dora Villagran. The facility has a fire clearance for six (6) non-ambulatory elderly residents and an approved hospice waiver for six (6), and LPA was informed there are currently three (3) residents receiving hospice services at the facility. LPA toured the facility with Administrator Villagran and observed the facility is made up of a one-story home with three (3) resident bedrooms, two (2) bathrooms, a staff room, kitchen, dining room, living room, and attached garage. During the tour, Administrator Villagran tested one (1) of the smoke alarm/carbon monoxide detectors and LPA observed it to be operational. LPA also observed three (3) charged fire extinguishers mounted throughout the facility, serviced on 5/8/2024. Indoor and outdoor passageways were free of obstruction. The facility has outdoor shaded seating for the residents in care. There were no bodies of water observed on the premises. A concrete wall secured the backyard. Medications are stored in a hallway cabinet that is secured with a master lock. Resident bedrooms had the required furniture and lighting. Resident bathrooms had grab bars and non-skid mats in the shower. LPA toured the kitchen and observed food was stored in a safe and healthful manner. The facility had more than a 2-day supply of perishable foods and 7-day supply of non-perishable food items. The facility also has additional clean linens, towels, and washcloths stored in different hallway cabinets. Additional food and incontinent supplies are stored in the garage. The living room fireplace has an appropriate screen to make it inaccessible for the residents in care. LPA reviewed random staff and resident files. Resident files reviewed had all Departmental required records. Staff present 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 Licensee Villagran.