Post-licensing visit·November 1, 2021

Licensing Program Analyst (LPA) Joseph Alejandre made an unannounced visit to conduct the post licensing inspection. LPA was greeted and granted entry by Administrator Dianna Manalo. LPA and Administrator toured the facility. LPA observed all bedrooms had the required furnishings. LPA observed the bathrooms were operational and clean. Hot water temperature measured 108.6 degrees Fahrenheit to 109.7 degrees Fahrenheit. All grab bars were secure. LPA observed all showers had no slip mats. LPA observed the garage was used for storage of extra supplies and furniture. The garage is kept secured and off limits to residents. LPA toured the backyard. LPA observed a table under the awning with chairs for residents to sit outside. The exit gate is operational. No bodies of water observed. No obstacles or hazards observed in the backyard. LPA observed the kitchen was clean and organized. LPA observed a 2 day perishable and 7 day non-perishable food supply on hand. LPA observed all the medications were kept locked in the hall closet. All fire extinguishers are fully charged. Smoke detectors/carbon monoxide detectors tested operational. LPA reviewed 2 out of 5 staff files. All staff files had all the required items. LPA reviewed 2 out of 6 resident files. Resident files had the required items. LPA reviewed 2 out of 6 resident medications and medication records, no discrepancies found. LPA consulted with the Administrator concerning reporting requirements and continued Covid-19 mitigation procedures. Facility has a mitigation plan that has been approved. No deficiencies are being cited as a result of this visit. An exit interview was conducted and a copy of the report provided.