Routine inspection·November 8, 2023

On 11/8/2023, Licensing Program Analyst (LPA) Janira Arreola conducted an unannounced annual required visit. LPA was granted entry and met with staff Elizabeth Razon, 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 attached garage. No firearms or pools are present at the facility. The home has (6) bedrooms and (6) bathrooms. The clients 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: The LPA observed hand washing stations with hand hygiene supplies. LPA observed PPE equipment and cleaning supplies to do regular cleaning of the facility. The facility has a plan to train staff on infection control guidelines. Physical Plant: Physical plant was observed to be clean and in good repair. The indoor and outdoor areas were 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 smoke detectors were operational, and the hot water temperature was recorded 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. Record Review and Resident/Staff Files: LPA reviewed staff files and training. Staff have criminal clearance and have updated training along with CPR/First Aid Certification. The administrator has proof of a processing administrator certificate with the department. Resident files were reviewed, and possessed all required paperwork. Health Related Services/ Incidental Medical Services: All client medication was locked. LPA reviewed resident medications, all of which were accounted for. Disaster preparedness: LPA reviewed the facility's emergency and disaster plan. The last fire drill was conducted 6/1/2023, the facility will be cited to conduct another fire drill. Plan of correction was created with administrator and staff. LPA observed emergency exits and emergency supplies. An exit interview was conducted where a copy of this report, along deficiency page and appeal rights were reviewed and provided to staff, Elizabeth Razon.