Routine inspection·October 10, 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 Fia Fernandez, Caregiver. Jennifer Ghahyasi, Licensee/Administrator joined the inspection as well. LPA explained the purpose of the inspection. The facility is one-story home with six resident bedrooms, four resident bathrooms, kitchen, dining room, living room, staff room, attached 2-car garage and backyard with pool. Pool is enclosed on all four sides. Two sides are enclosed by a brick wall separating the yard from neighboring yards. The other two sides are enclosed by the facility. One resident bedroom has patio that leads to the pool area, however the gate leading from the patio to the pool area is permanently locked. Facility appears clean, safe and sanitary. LPA observed the facility has the necessary postings posted on the walls. 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 hallway cabinets. 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. LPA observed the fire extinguisher was serviced on 7/26/2024 according to the attached service tag. Smoke/Carbon Monoxide detector were tested and noted as operational. LPA observed hazardous items such as knives, chemicals and cleaners to be locked up in the kitchen and garage. Knives are locked up separate from toxic chemicals. Medication for each resident is kept locked in a cabinet in the dining area. Based on medication review, LPA determined facility transferred medication between containers. A citation is being issued. Exit gate is unlocked and self-latching. LPA observed exit gate to be unobstructed. LPA reviewed three resident files and three staff files. LPAs also reviewed medication for three residents. LPA interviewed one staff and one resident. Based on today's inspection, one citation and one technical violation are being issued. An exit interview was conducted and a copy of this report, deficiency page sand appeal rights were provided to the facility.