Routine inspection·September 26, 2024

Licensing Program Analyst (LPA) Jerome Haley conducted an unannounced visit for the purpose of conducting a required annual visit. LPA was greeted, granted entry by staff, and explained the reason for the visit before entry. Facility staff called Administrator (AD) Justine Mendoza who arrived with Administrator Cathrine Mendoza and both were present for the remainder of the visit. AD Cathrine Mendoza has a current administrator’s certificate that expires 4/21/26. At 12:50 PM LPA Haley began the inspection with staff. There were four residents present during the visit. All required postings were observed on the walls throughout the facility. Right next to the front door there's a half bathroom for staff, residents, and visitors. Next to the bathroom by the front door there's a closet with a supply of nonperishable food items. Resident rooms and bathrooms were equipped with all the necessary requirements. Hot water temperatures measured in the range of 106.3 – 111.7 degrees Fahrenheit. A supply of additional linen was observed in the hallway closet. There's an office in between the dining room and living room. Staff and resident files are stored in the locked filing cabinets. A large supply of wound care items and supplies and a first aid kit with all the required elements was observed. The kitchen was clean and organized. LPA observed a food supply that meets regulation requirements. Licensee was advised on the importance of keeping an adequate food supply and an emergency supply of food items. Medications are kept locked in a cabinet under the kitchen counter along with sharp objects. Hazardous cleaning chemicals are kept locked under the sink. The garage is used as a storage space. LPA observed mattresses, bed frames, wheelchairs, and walkers. Two additional refrigerators was observed. One for staff food items and one for the resident food supply. Continued on LIC809C A washer and dryer was observed. An emergency supply of water was present. The backyard was clean, organized, and free of clutter and debris. A shaded area with a table and chairs was observed. A self-latching side exit gate was observed. No bodies of water were observed during today's visit. There was a charged and mounted fire extinguisher observed in the kitchen. Smoke detectors are battery powered and operate individually. Carbon monoxide detectors tested operational. During the visit 2 staff interviews were conducted, 2 staff files were reviewed, 5 resident files were reviewed, and 3 resident medications were reviewed. Deficiencies are being cited and Technical Advisories will be issued as a result of todays visit. An exit interview was conducted and a copy of the report and appeal rights were left at the facility.