Routine inspection·September 9, 2024

Licensing Program Analyst (LPA) Javier Prieto made an unannounced visit to the facility to conduct a required annual inspection. LPA met with Mary Mateas, Administrator and discussed the purpose of the visit. The facility is a Residential Care Facility for the Elderly (RCFE). License capacity of (6) non-ambulatory residents and a current census of (3). Hospice waiver for (2). LPA conducted an overall inspection of the facility, which included, but was not limited to, the following: LPA inspected the facility inside and out. Indoor and outdoor passageways are free of obstruction. The facility has sufficient lighting and is maintained at a comfortable temperature. Facility has no outdoor bodies of water. Facility has furniture in good repair for residents in care. Facility has a covered outdoor area and gated front and back yard. LPA inspected the kitchen. The refrigerator temperature is maintained at 40 degrees F. Hot water temperature is maintained at 117.6 degrees F. Facility has sufficient non-perishable and perishable food supply for the number of residents in care. A monthly menu is posted in the kitchen. Facility has sufficient cups, plates, and utensils for residents in care. Facility food is stored in a safe and healthful manner. LPA inspected client bedrooms. Bedrooms are equipped with mattresses, night stands, pillows, chairs, and storage space. Bedrooms have sufficient linen and lighting. LPA inspected client bathrooms. Bathrooms are equipped with handrails and operating in safe and sanitary conditions. Bathrooms hot water temperature is maintained at 105 degrees and 117 degrees F. LPA observed the facility is equipped with operating carbon monoxide alarms and fully charged fire extinguisher. Facility has operating telephone service on the premises. Posters such as personal rights, Licensing complaint contact number, Ombudsman contact number, emergency phone numbers are posted in a common area. Emergency drill was conducted on 9/10/24. Disinfectants, cleaning solutions, and toxins are kept locked and inaccessible to residents in care. Sharps are kept locked and inaccessible to residents in care. Client medications are kept in a safe and locked cabinet inaccessible to clients in care. All medication are labeled and administered as prescribed. Three staff files reviewed had First Aid Certifications, fingerprint clearances/exemptions, health screenings, training, employee applications. All client records (3) reviewed had admissions agreements, medical assessment, needs service plans, record of personal property. Overall, the facility is clean, in good repair, and operating in safe conditions for residents in care. No deficiencies were cited during today's visit.