Routine inspection·December 9, 2024

Licensing Program Analyst (LPA) Cynthia Chan conducted the annual inspection on 12/9/24. LPA arrived unannounced and met with Staff, Irene Plascencia. Administrator, Joselolito Soliven, arrived shortly after to assist with the visit. The facility is licensed to serve 6 non-ambulatory residents, ages 60 and over, of which 1 may be bedridden. There is a hospice waiver approved for 6 residents. LPA used the Compliance and Regulatory Enforcement (CARE) tools to inspect the facility. The following domains were completed today. Infection Control: Facility has an Infection Control plan and are continuing to clean and disinfect the home. They are using appropriate hand hygiene and wearing gloves while assisting residents. Operational Requirements: The facility accepts and retains residents diagnosed with dementia. There are no residents utilizing oxygen at this time. Facility has the required amount of liability insurance coverage. Physical Plant & Environment Safety: The facility consists of 3 resident bedrooms, 2 Staff rooms, 2 bathrooms, living room, dining room, kitchen, and a garage. The hot water temperature was measured between the required range of 105-120 degrees F. There are no swimming pool or bodies of water on the premises. The fireplace is adequately screened. There are smoke and carbon monoxide combo detectors located throughout the home. Knives and disinfectants are locked. Food Service: Sufficient food supplies of 2-day perishable and a week of non-perishable items are observed. The foods are properly stored in the refrigerators. Planned Activities : Facility has sufficient space to provide indoor and outdoor activities. Disaster Preparedness : Facility has the updated Emergency Disaster Plan and procedures are outlined in the plan. No deficiencies are issued today. LPA will return another day to inspect the rest of the domains. An exit interview was held and a copy of this report was given to the administrator.