Routine inspection·March 29, 2024

On 3/29/2024, Licensing Program Analyst (LPA) Janette Romero conducted an unannounced visit to the facility for a required annual inspection. LPA met with House Manager (HM), Imelda Villar who was informed of the purpose of the visit. LPA toured the facility’s interior and exterior with HM Villar. The facility has a fire clearance for six (6) non-ambulatory elderly residents and an approved hospice waiver for two (2). During today’s visit, there was four (4) residents and two (2) staff present. The facility is made up of three (3) resident bedrooms and two (2) full bathrooms along with a kitchen, living room, dining room and attached garage. During the tour, LPA observed the facility has more than a 2-day supply of perishable food and 7-day supply of nonperishable foods that are stored in a safe and healthful manner. Medications are secured in a kitchen cabinet. Disinfectants and cleaning solutions are secured in a locked cabinet in the laundry room. The outside area provides shaded seating available for resident use. Indoor and outdoor passageways are free of obstruction. The facility has an in-ground pool, which is appropriately gated and secured with a master lock, making it inaccessible for the residents in care. HM Villar tested the smoke alarm/carbon monoxide detectors, and LPA found them to be operational. LPA observed charged fire extinguishers mounted throughout the facility. LPA reviewed random resident files. Files reviewed had signed admission agreements and updated physician’s reports. The facility does not safeguard residents' cash resources. LPA reviewed random staff files. Files reviewed had the Department’s required training records and a valid first aid certification. 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 to HM Villar via email due to LPA experiencing technical difficulties. LPA waited to ensure that HM Villar accessed and printed the report.