Routine inspection·August 12, 2024

On 8/12/2024, Licensing Program Analyst (LPA) Janette Romero conducted an unannounced visit to the facility for a required annual inspection. LPA was greeted and granted entry by Caregiver, Daisy Moscono who was informed of the purpose of LPA's visit. Licensee, Arlene Fajardo arrived during the visit and was also informed of the purpose of the visit. The facility has a fire clearance for six (6) non-ambulatory elderly residents and an approved hospice waiver for four (4). LPA was informed three (3) residents are currently receiving hospice services at the facility. During today's visit, there was four (4) residents and two (2) staff present. LPA toured the facility with Licensee, Arlene Fajardo and observed the facility is made up of a one-story home with four (4) resident bedrooms, two (2) bathrooms, one (1) staff room, a kitchen, dining room, living room, and attached garage. During the tour, Caregiver, Virgilio Herrera tested one (1) of the smoke alarms/carbon monoxide detectors and LPA observed it to be operational. LPA also observed a charged fire extinguisher mounted near the kitchen, last serviced on 3/18/2024. Indoor and outdoor passageways were free of obstruction. The facility has outdoor shaded seating for the residents in care. The facility also has emergency food, water, incontinent supplies, cleaning solutions, disinfectants and the laundry service stored in the garage. There were no bodies of water observed on the premises. Medications are secured in a locked kitchen cabinet. Resident bedroom had the required furniture and lighting. Bathrooms had grab bars near the toilet and in the showers. LPA observed a cabinet filled with clean linens and towels. LPA toured the kitchen and observed the facility had more than a 2-day supply of perishable foods and 7-day supply of non-perishable food items. Resident files reviewed had signed admission agreements and updated physician reports. Staff present have a criminal record clearance and valid first aid/CPR certification. Complaint procedures, facility sketch, resident rights, Long Term Care Ombudsman and emergency contact information are visibly posted throughout the facility. 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 Fajardo.