Routine inspection·May 17, 2022

Licensing Program Analysts (LPA) Edward Tapia made an unannounced required annual inspection in this facility. LPA met with staff Jicel Pulvera and stated the purpose of this visit. Administrator Lordele De Los Reyes arrived during the visit at 2:10 PM and provided assistance. The facility is a single level structure and licensed for six non-ambulatory of which one may be bedridden and a hospice waiver for four. This facility is a Residential Care Facility for the Elderly. At about 1:50 PM, LPA Tapia was granted entry after completing the Coronavirus 2019 (COVID 19) screening procedure. For this visit, LPA observed 4 clients in care and two staff members on the duty. LPA toured the interior and exterior portions of the facility. There was one shared client room, five client private rooms and one private staff room. Residents rooms were provided with furniture in good repair, clean linens, adequate storage space, and kept free of tripping hazards. Manual smoke detectors and carbon monoxide alarms were tested to be operational. LPA noticed in Bedroom (1) tools and medication were visible and staff immediately removed and locked. Bathroom (1) was observed to be in good repair and provided with grab bars and hot water was measured at 135.6 degrees Fahrenheit. Bathroom( 2) was observed to be in good repair and provided with grab bars and hot water was measured at 134.0 degrees Fahrenheit. Bathroom(3) was observed to be in good repair and provided with grab bars and hot water was measured at 135.8 degrees Fahrenheit. Bathroom (4) was observed to be in good repair and provided with grab bars and hot water was measured at 137.1 degrees Fahrenheit. Bathroom (5) was observed to be in good repair and provided with grab bars and hot water was measured at 133.5 degrees Fahrenheit. Bathrooms (3) and (5) were observed with exposed razors and staff immediately removed and locked the razors. Facility met the minimum two day supply of perishable and seven day supply of non-perishable food stock requirements, cleaning supplies and sharp items were inaccessible to clients in care. Facility had adequate supplies of personal protective equipment in place. Fire extinguishers were observed. For the exterior portion, facility had outside furniture in good repair; and grounds were free of tripping hazards. Facility has a 3 car garage and is used for storage, emergency supplies and PPE. Laundry room was in good repair. Kitchen was in good repair with medications kept locked. LPA noticed scissors and had staff removed and put them in a locked area. LPA Tapia reviewed the COVID 19 mitigation plan of the facility. LPAs discussed Assembly Bill 665 that requires a licensee of any adult care residential facility that has internet service to provide at least one internet access device, such as a computer, smart phone, tablet or other device, that: can support real-time interactive applications; is equipped with video conferencing technology, including microphone and camera functions; and is dedicated for client or resident use. For this visit, one deficiency was noted in areas observed. No citation was issued. An advisory was issued today. LPA Tapia conducted an exit interview with Administrator Lordele De Los Reyes and copy of this report was left at the facility.