Routine inspection·December 21, 2023

Licensing Program Analyst (LPA) Janira Arreola conducted a required annual visit. LPA was greeted and was granted entry and met with Licensee, Alicia Cunnigham , who was informed of the purpose of the visit. At time of visit there were (1) resident and one (3) staff present. The facility is a one story home with (5) bedrooms and (2) bathrooms with attached garage. The facility does not have a pool or fire arms. The facility is designated as a residential care facility for the elderly and the residents served are elderly ages 60 and above. LPA conducted a tour of the interior and exterior, reviewed facility documents and conducted interviews. LPA observed the following: Infection Control: LPA observed the hand washing stations in the facility restrooms and kitchen had hand hygiene supplies. LPA observed PPE equipment and cleaning supplies to do regular cleaning of the facility. The facility has an infection control plan and documented training for staff on infection control. Physical Plant: Physical plant, floors, windows, and doors were observed, fixtures and furniture were present and in good repair. The facility's outdoor area was observed to be free of hazards and contained outdoor furniture and shaded area for clients. Laundry equipment was observed to be in good working condition. The sharp and dangerous objects were observed to be locked and inaccessible to clients. The smoke detector and carbon monoxide was operational, and the hot water temperature 106.7F. During the time of the visit LPA observed insects on resident medication bin, and several flies and mosquitos in the facility living room. LPA also observed numerous bags of recyclable cans and bottles in garage and backyard. Deficiency was cited for facility staff to keep facility free of insects and free of excess debris as to not attract pests. Plan of correction was documented with licensee. LPA also observed the cleaning chemical in the resident restroom were secured with a wooden dowel and not a lock. Technical note was documented for staff to ensure cleaning chemicals are locked and inaccessible to residents. Food Service: LPA observed facility kitchen had the ability to prepare food 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. Record Review and Resident/Staff Files: LPA reviewed staff files and training that contained staff criminal clearance and updated training along with CPR/First Aid. Client files were reviewed and possessed all required paperwork. Health Related Services/ Incidental Medical Services: All resident medication was locked in the kitchen cabinet. LPA reviewed resident medications for (2) residents and found all medication listed on MARS and all required labeling was found to be in place. LPA review MARS for all residents and found documentation was up to date and accounted for. Disaster preparedness: LPA reviewed the facility's emergency and disaster plan. LPA documented technical note for licensee to update the plan to new LIC610D. LPA reviewed documentation showing last fire drill conducted 11/1/23. LPA observed all facility exits were clear from obstructions. An exit interview was conducted where a copy of this report along with LIC809-D and appeal rights were provided to Licensee, Alicia Cunnigham.