Routine inspection·August 16, 2024

Licensing Program Analyst (LPA) Amy Rodgers conducted an unannounced Annual inspection. LPA was greeted and allowed entry into the facility by care giver Lydia Geroy to whom LPA discussed the purpose of the visit. Later, Administrator Ray Santianez joined the visit. According to the facility’s license, the facility has a maximum capacity of six (6) non-ambulatory clients, of which one (1) may be bedridden. Facility also has a hospice waiver for 6. LPA, accompanied Administrator Ray Santianez, to conduct a tour of the interior and exterior of the facility, and inspected each room. The facility was clean, sanitary, and in good repair. Pathways were free of obstruction and slip hazards. Client bedrooms contained the required furnishings. Doors, windows, screens, toilets, and showers were in working order. Extra linens and hygiene supplies were present, as well as Personal Protective Equipment. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and client activities. The facility’s ambient internal temperature was compliant. Hot water temperature at taps accessible to clients were all compliant. LPA observed a fenced pool, no water in pool, which was secured by fencing and a locked gate which met regulation requirements. There was at least 2 days of perishable food, and at least 7 days non-perishable food present, all safely stored. Cooking/dining equipment and utensils were present. There were no sharp objects, toxic chemicals/poisons, or open-faced heaters accessible to clients. LPA also conducted an inspection of the centrally stored medications. They were properly locked in medication cabinet. Medication logs and medications reviewed were current. [Continued on 809-C] [Continued form 809] LPA interviewed Administrator Ray Santianez, no firearms or ammunition are kept at the facility. Smoke alarms, carbon monoxide detectors, emergency lighting, and facility telephone were all working. Fire extinguisher(s) were serviced within the last 12 months. First aid kit was complete and readily accessible. Required licensing postings were observed in visible areas of the facility. LPA reviewed the theft and loss policy and procedures. Transportation procedures are compliant. LPA interviewed staff members and residents. LPA interviews did not raise any licensing concerns. Staff and resident records review verified that all staff records and residents are complete and compliant. Licensee presented proof of current liability insurance.Administrator’s certification is current. LPA observed that residents were being treated with dignity by staff, and there were sufficient staff on duty to meet resident’s needs. No deficiencies were observed or cited during today's annual inspection. However, LPA issued a technical violation regarding the labels on the medication containers. (refer to the attached LIC 9102-TV page). An exit interview was conducted with Administrator Ray Santianez, whose signature below confirms receipt of a copy of this report and the Licensee Appeal Rights (LIC9058 3/22).