Routine inspection·September 29, 2023

On 9/29/2023 at 12:30 PM, Licensing Program Analysts (LPAs) Cassie Yang and Cheyenne Ratajczak arrived unannounced at the facility to conduct a Required 1-year annual inspection utilizing the full CARE tool. LPAs met with Caregiver, Placida De Vera and Randy De Vera, and explained the purpose of the visit. During today's inspection, LPAs observed the presence of six residents in care, two on hospice services. LPAs and Caregiver conducted a tour of the interior and exterior of the facility. In areas toured included but not limited to: six private residents room, two bathrooms, laundry room, kitchen, backyard, storage shed and common areas. LPAs observed toxins to be locked and secured. LPAs observed the facility to have ample supply of clean linen. Additionally, LPAs observed the facility to have 2+ days perishable and 7+ days of nonperishable foods. LPAs observed sharps and medications to be locked and inaccessible to residents in care. LPAs observed the exterior of the facility to be clear from tripping hazards, LPAs observed the storage shed to be locked. In areas toured, no immediate health, safety or personal rights violation was observed. LPAs conducted a file review of five resident records and three personnel records. Based on file review, LPAs observed facility files to be complete. LPAs observed Administrator Certificate #6032256740 to be current with expiration date of 08/24/2024. LPAs observed active liability insurance, expiration date of 11/21/2023. As a result of today's inspection, LPAs completed the CARE tool and found the facility to be in compliance to Title 22. No deficiencies cited. Exit interview conducted and a copy of the report was left with caregiver.