Routine inspection·June 11, 2021

Licensing Program Analyst (LPA) Deborah Mullen conducted an unannounced annual inspection. LPA met with Paolo Angeles, Licensee. The home is licensed for 5 non-ambulatory and 1 bedridden resident. The licensee also has a waiver to accept 5 hospice residents. The home is a five (5) bedroom, two (2) bath home with a living room, dining room and kitchen. All bedrooms are furnished with bed, nightstand, dresser and chair. Bedrooms have adequate lighting for residents’ use. The facility currently has linens, towels and a sufficient amount of hygiene products for residents. The kitchen was observed to have dishes, silverware, pots, and pans. Knives are locked in a drawer in the kitchen area. Staff and resident files are locked in a file cabinet, in the hall closet. The medications are locked in cabinet located in the hall closet. The chemicals are locked and kept in the laundry area and locked under the kitchen sink. The backyard was observed to be fully fenced with an unlocked gate and has an umbrella with table and chairs for client’s comfort while sitting outside. During the visit LPA discussed infection control procedures and practices with Mr. Angeles. The home appeared to be in compliance and no deficiencies were observed or cited. An exit interview was conducted and a copy of this report was reviewed with and provided to Mr. Angels.