Routine inspection·October 4, 2024

Licensing Program Analyst (LPAs) Dwayne Mason Jr. and William Vanegas arrived at the facility unannounced for the purpose of conducting a required annual inspection. LPAs was greeted at the facility by Liza DelaCruz, Licensee. LPAs explained the purpose of the inspection. The facility is one-story home with six resident bedrooms, three resident bathrooms, kitchen, dining room, living room, staff room, attached 2-car garage and backyard.Facility appears clean, safe and sanitary. LPAs 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 9/12/2024 according to the attached service tag. Smoke/Carbon Monoxide detector were tested and noted as operational. LPAs 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 kitchen. Exit gates are unlocked. LPA observed exit gates to be unobstructed. LPAs reviewed three resident files and three staff files. LPAs also reviewed medication for three residents. LPA interviewed one staff and one client. Based on record review, facility does not have documented disaster drills for the last year. A citation is being issued. Based on medication review, a medication error was discovered on 10/3/2024. A citation is being issued. Based on medication review, LPAs determined facility transferred medication between containers. A citation is being issued. Based on today's inspection, three citations are being issued. An exit interview was conducted and a copy of this report, deficiency pages and appeal rights were provided to the facility.