Routine inspection·December 9, 2022

Licensing Program Analyst (LPA) Jenifer Tirre conducted an unannounced visit for the purpose of conducting a required annual visit. LPA was greeted, granted entry into the facility and temperature checked by staff. During the visit LPA toured the facility with Caregiver. Administrator Kian Pascual arrived during visit. Facility is a 5 bedroom,( 4 resident bedrooms 1 staff bedroom) and 2 bathroom single story home. There are 6 Residents in care. LPA observed proper covid signage near front entrance of facility as well as sign in and temperature check station. Facility has required Department postings. LPA toured all Residents rooms, all rooms had required furnishings such as bed, chair, lamp, dresser, nightstand and closet space. All restrooms observed contained soap and toilet paper. Restrooms had working toilet and wash basin. Residents were observed relaxing in bedrooms and eating lunch in dining room. Facility has operating audible alarms for each sliding door entrance/exit. Facility has 2 fire extinguishers which are fully charged. Facility has operational Carbon monoxide and smoke detectors. Facility has ample supply of PPE. Facility has refrigerator and pantry with ample food supply. LPA observed facility has emergency food and water supply. Administrators certificate was observed with expiration date 4/8/2023. Facility has a secured location for Toxins. Facility has a secured location for resident medication and files. Facility has 30 days supply of medications for clients. LPA reviewed Resident files during visit. Resident emergency contact information and Physicians reports are current. Facility has a designated visitation area. Staff are following Covid-19 guidelines wearing Face Masks. No deficiencies noted during todays visit. An exit interview was conducted with Administrator and a copy of report was left at facility.