Routine inspection·August 14, 2024

Licensing Program Analyst (LPA) Dwayne Mason Jr. arrived at the facility unannounced for the purpose of conducting a required annual inspection. LPA was greeted at the facility by Fabiola Fuentes, Medtech/Caregiver. LPA met with Melinda Flores, Administrator and explained the purpose of the inspection. The facility is one-story building with twelve shared resident bedrooms, two private resident bedrooms, each with their own bathroom. The facility also has two common bathrooms, kitchen, dining room, office, medication room, activity room, caregiver station, shower room, laundry room, living room, courtyard and outdoor storage. Facility appears clean, safe and sanitary. LPA observed the facility has the necessary postings posted on the walls. LPA noted residents were lounging in their rooms or the living room. All resident rooms had the required elements, including bed, chair, closet space and ample lighting. Facility has extra linens and hygiene supplies for residents in a storage room. Restrooms are stocked with soap and paper towels and have hand washing postings. Hot water measured between 105 and 120 degrees F. LPA observed facility has emergency food and water supply as well as additional emergency supplies. LPA observed the fire extinguisher was last serviced on October 2, 2023. Smoke/Carbon Monoxide detector/fire alarm were tested and noted as operational. LPA observed hazardous items such as knives, chemicals and cleaners to be locked up in the kitchen, storage or the laundry room. Knives are locked up separate from toxic chemicals. Medication for each resident is kept locked in the medication room. The courtyard has shaded sitting/lounging areas. Exit gates are unlocked. LPA observed exit gates to be unobstructed. Based on record review, LPA observed the medication administration record for four residents to be missing signatures. A deficiency is being issued. LPA reviewed four resident files and four staff files. LPA also reviewed medication for four residents. LPA interviewed one staff and two residents. Based on today's inspection, one deficiency is being issued. An exit interview was conducted and a copy of this report and appeal rights were provided to the facility.