Routine inspection·November 20, 2024

On 11/20/2024, Licensing Program Analyst (LPA) Abdoulaye Zerbo made an unannounced visit to the facility. The purpose of the visit was to conduct a required annual inspection LPA Abdoulaye met with Licensee/Administrator Meza Walter and was granted entry to the facility. At the time of the visit there was one (1) staff present, and Six (6) residents present. The facility is a five (5) bedrooms, three (3) bathroom home with a kitchen/dining area, living room/activity room and a garage. The facility is Residential Care Facility for the Elderly (RCFE). The facility is licensed for a capacity of six (6) non-ambulatory and six (6) hospice care and 1 maybe bedridden resident and the current census is six (6) residents. LPA Zerbo was accompanied by administrator Meza to conduct a general overall inspection, which included, but was not limited to, the following: Physical Plant: The facility is operating in the capacity approved by Community Care Licensing Division (CCLD). There are no obstructions to indoor and outdoor passageways. The facility is maintained at a comfortable temperature. LPA Abdoulaye inspected resident bedrooms; they are equipped with required furniture such as: mattresses, night stands, storage space, and sufficient lighting; bathrooms were clean, and appliances were operating appropriately. LPA observed sufficient furniture and lighting throughout the facility. LPA Zerbo measured and observed the water temperatures in several bathrooms averaging 110.6 degrees. The facility is equipped with operating smoke detectors and one carbon monoxide was not working. A citation will be issued. Fire extinguishers were also observed at the facility. Posters such as personal rights, the CCLD complaint poster, and the disaster plan were posted in a common area. Cleaning supplies, toxins, sharps, and other dangerous items were kept inaccessible to residents in care. There was a designated storage space for resident/staff files in the kitchen area. There is a Medicine cabinet with the resident’s medications locked in the kitchen area. LPA Zerbo observed a complete first aid kit at the facility. ***Continuation in LIC809C *** Food Service: More than seven (7) days’ supply of Non-perishable foods and more than two (2) days’ supply of perishable food supply were observed and sufficient for the number of residents in care. Care & Supervision: The facility has an Administrator present in the facility with appropriate and enough hours to appropriately manage the facility. The facility has sufficient number of staff to provide care and supervision to the residents in care. Also, LPA Zerbo observed that the facility currently does not have dementia residents. Record Review: LPA reviewed five (5) resident files for admission agreements, updated physician reports, pre-placement appraisals and needs and services plans. LPA Zerbo observed resident files reviewed were complete. LPA Zerbo reviewed three (3) staff files for First Aid/CPR certification, criminal record clearance, trainings, and health screenings. LPA Zerbo observed resident files reviewed were. LPA observed that licensee did not complete drill quarterly. A citation will be issued An exit interview was conducted and a copy of this report along with the appeal rights were reviewed and a copy was provided to Licensee/Administrator Meza Walter