Routine inspection·March 28, 2024

Licensing Program Analyst (LPA), Stephanie Martinez, conducted an unannounced visit to the facility to complete a required annual inspection. The LPA met with Administrator, Anna Estaniel, and informed her of the purpose for her visit. Physical Plant: The facility consists of four (4) resident bedrooms, one staff bedroom, one dining area, two living spaces, a kitchen, a laundry area, a garage space, and a covered patio with sufficient seating and space for activities. The facility's pool was observed to be inaccessible to unauthorized individuals. According to Administrator Estaniel, there are no weapons stored in the home. The facility is being maintained at a comfortable temperature. All indoor areas were observed to be free of debris and other trash. There are grab bars for the toilet and shower used by residents. Resident shower has a non-skid mat present. The carbon monoxide and smoke detectors were tested by facility staff and were observed to be in operating condition. LPA observed about three chemicals/cleaners to be accessible in restroom #2. A citation will be issued. Medication Review: A medication review was completed for Resident Three's (R3's) medications. Medications were maintained separate from other resident's medications. Staff Records: The LPA reviewed staff training and observed first aid and CPR training to be available. Resident Records: The LPA reviewed resident records. A Pre-Admission Appraisal and Admission Agreement was observed on file for R3. A written record of care was not observed on file for R3. When reviewing resident hospice files the LPA observed no hospice care plan for Resident One (R1). Citations will be issued. An exit interview was conducted; this report was reviewed with Administrator Estaniel and a copy was provided, along with instructions on appeal rights, and the LIC 811.