Routine inspection·October 18, 2024

Licensing Program Analysts (LPAs) Abdoulaye Zerbo and Sara Martinez conducted an unannounced visit to the facility for the purpose of conducting a required annual inspection . The LPAs were greeted by caregiver Adela Tolentino, notified of the purpose for the visit and were allowed to enter the facility to conduct the inspection. Administrator Candidato Florina joined at a later time and was informed of the reason of the visit. Facility Overview: The facility is a single story building with 4 residents bedrooms, 1 staff bedroom and 2 bathrooms. There is gated pool meeting the department's requirements and there are no firearms on the premises. Infection Control: LPAs observed that hygiene and cleaning supplies were available for regular facility maintenance. The facility’s infection control plan was reviewed and found to meet department requirements. Physical Plant: The physical plant, including floors, windows, and doors, was clean and well maintained. Fixtures and furniture were in good repair. Laundry equipment was in good working condition. Sharp and dangerous objects were securely locked in kitchen cabinet under the sink and inaccessible to residents. The smoke detector and carbon monoxide detector were working and operational. LPAs observed fire extinguishers to be in compliance with the department requirements and with and expiration date of 06/28/2025. LPAs observed the hot water temperature to meet requirements at 108.7°F. Food Service: The facility’s kitchen was clean and equipped to prepare food. The facility maintained the required two-day supply of perishable foods and a seven-day supply of non-perishable foods. Continued on LIC809-C..... Care & Supervision/Administration: Adequate staff were present to supervise clients during the visit. The administrator holds a current administrator’s certificate with expiration date of May 17 th , 2025. Record Review and Resident/Staff Files: LPAs reviewed files for three(3) staff members, confirming criminal clearances, updated training, and CPR/First Aid certification. Five residents' files were reviewed and contained all required documentation. LPA's observed Staff, resident files, were stored in locked cabinet next to the dining area. PPE's and water were stored in the garage and the first aid kit was hanged in the dining area. Health-Related Services/Incidental Medical Services: All residents' medications were securely locked and located in the dining area. LPAs reviewed medications for five residents, confirming that all medications were listed on the Medication Administration Record (MAR) and accounted for. LPAs observed resident's medication in a refrigerator with perishable food located in the garage that is accessible to residents in care. A citation will be issued. Disaster Preparedness: LPAs reviewed the facility’s emergency and disaster plan, including documentation of the last fire drill conducted on 10-03-2024, which met department requirements. LPAs observed both gates to be locked. A citation will be issued. An exit interview was conducted and a copy of this report was provided to administrator Florina Candidato along with the appeal rights