Routine inspection·January 15, 2025

Licensing Program Analyst (LPA) Debbie Palacios made an unannounced visit to the facility to conduct a required annual inspection. LPA was greeted and granted entry by Direct Support Caregiver Mimichaela Carpio who was informed of the purpose of the visit. The facility has a fire clearance for six (6) Non-Ambulatory and a Hospice waiver approved for two (2). LPA toured the facility with Direct Support Caregiver and reviewed records. During the tour, LPA observed the facility is made up of a one (1) story home with three (3) resident bedrooms, one (1) staff room, one (1) resident bathroom and one (1) staff bathroom, a living room, dining room, kitchen and attached garage. Facility has a Activity room located next to the dining area where LPA observed activity games, computers and arts and craft. All resident's bedrooms had required furniture and lighting. LPA toured the facility's exterior and observed outdoor pathways were free of obstructions. Outdoor shaded seating area is also available for the residents in care. LPA observed a hallway cabinet filled with clean towels, blankets, and linen, available for the residents. LPA toured the kitchen and observed the facility has a 2-day supply of perishable foods and more than a 7-day supply of non-perishable foods, which are stored in a safe and healthful manner. LPA observed that sharp knives and dish washer supplies are located in a locked kitchen cabinets. Resident's medications are also locked in the kitchen cabinet. LPA toured the garage and observed that there are multiple cabinets that have extra bedding sets and clean linen sheets available for the residents. LPA observed that the garage has the Emergency kits and supplies stored in a cabinet. LPA observed that the laundry room had cleaning solutions, laundry detergent, and disinfectants in a locked cabinet. Direct Support Caregiver Mimichaela tested one (1) of the smoke alarms/carbon monoxide detectors and LPA observed it to be operational. LPA also observed two (2) charged fire extinguishers mounted throughout the facility, last serviced on 12/4/24 . Exit signs, emergency contact information, resident's personal rights, and complaint information are visibly posted near the entrance and throughout the facility. During today's visit, LPA did not observe any issues or concerns. An exit interview was conducted and a copy of this report was reviewed and provided.