Routine inspection·October 21, 2024

Licensing Program Analyst (LPA) Seo Jeon, Andrei Castillo, and Ferrer Sabarias conducted an unannounced annual required visit. Upon entry, LPAs were greeted by Vivian Reyes, administrator, and informed them of the purpose of the visit. At the time of the visit, there were two staff members and two residents present. Facility Overview: The facility is a one-story home with four bedrooms and three bathrooms, including an attached garage. There are no pools or firearms on the premises. Infection Control: LPA observed that hygiene and cleaning supplies were available for regular facility maintenance. The facility’s infection control plan was reviewed and found to meet department requirements. Physical Plant: The physical plant, including floors, windows, and doors, was clean and well maintained. Fixtures and furniture were in good repair. The outdoor area was free of hazards. Laundry equipment was in good working condition. Sharp and dangerous objects were securely locked and inaccessible to residents. Fire extinguisher located in the kitchen had current inspection tag. Both the smoke detector and carbon monoxide detector were operational, and the hot water temperature was 120°F. Food Service: The facility’s kitchen was clean and equipped to prepare food. The facility maintained the required two-day supply of perishable foods and a seven-day supply of non-perishable foods. Continued on LIC809-C.... Care & Supervision/Administration: Adequate staff were present to supervise clients during the visit. The administrator holds a current administrator’s certificate. Record Review and Resident/Staff Files: LPA reviewed files for two staff members, confirming criminal clearances, updated training, and CPR/First Aid certification. Two resident files were reviewed and contained all required documentation. Health-Related Services/Incidental Medical Services: All resident medications were securely locked. However, a staff's prescription medication bottles were stored in a drawer in the kitchen that was accessible to the residents in care. Citation was issued. LPA reviewed medications for two residents, confirming that all medications were listed on the Medication Administration Record (MAR) and accounted for. Disaster Preparedness: LPA reviewed the facility’s emergency and disaster plan, including documentation of the last fire drill conducted on 10-6-2024, which met department requirements. All facility exits were clear of obstructions. One deficiency was cited during the visit. An exit interview was conducted, during which this report, LIC809-D and Appeals Rights were reviewed and provided.