Routine inspection·August 21, 2024

Licensing Program Analyst (LPA) Janira Arreola conducted an unannounced annual required visit. LPA was granted entry and met with Staff, Anthony Mike Vito who was informed of the purpose of the visit. At the time of the visit there was (2) staff and (5) residents present. The facility is a one story home with (4) bedrooms and (2) bathrooms for the residents. No pools or firearms are being kept at the facility. Infection Control: The LPA observed hygiene supplies, PPE equipment and cleaning supplies to do regular cleaning of the facility. LPA reviewed the facility's infection control plan which met department requirements. LPA reviewed staff records and found that all staff had infection control training. Physical Plant: Physical plant, floors, windows, and doors were observed to be clean. Fixtures and furniture were in good repair were present. The outdoor area was observed to be free of hazards. Laundry equipment was observed to be in good working condition. The sharp and dangerous objects were observed to be locked and inaccessible to residents. The carbon monoxide was operational, and the hot water temperature was read at 120F. Food Service: LPA observed facility kitchen had the ability to prepare food in clean environment and possessed equipment in good working condition. LPA observed the facility met the required 2-day supply of perishable and 7-day supply of non-perishable foods. Care & Supervision / Administration: Adequate staff are present for the supervision of clients during the visit. The staff schedule was unable to be presented during the time of the visit, the administrator stated they would send it to the LPA by 8/23/2024. The administrator agreed to send copy of liability insurance that had been renewed this past week by Friday 8/23/2024. Record Review and Resident/Staff Files: LPA reviewed (3) staff files and training. One (1) staff did not have proof of CPR training, and health screening and TB test. Deficency was issued and plan of correction was created. Two (2) resident files were reviewed, and possessed all required paperwork. Health Related Services/ Incidental Medical Services: All client medication was locked in the facility kitchen. LPA observed the resident medication is being transferred from bubble packs to daily pill boxes. A deficiency was issued and plan of correction was created. Disaster preparedness: LPA reviewed the facility's emergency and disaster plan. Through staff interview the facility's last fire drill was conducted May of 2024, documentation of the drill was unable to be shown to the LPA. LPA issued a technical note for the drill to be documented and sent to LPA by Friday 8/23/2024. LPA observed emergency supplies in the and first aid kit. An exit interview was conducted where this report along with deficiencies and technical notes were reviewed and provided with the staff and Administrator, Venus Bravo over the phone.