Post-licensing visit·September 20, 2024

Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to conduct a required post-licensing inspection and met with Martha Szatmari, caregiver, and stated reason for the inspection. LPA asked to speak to the Administrator. Caregiver called Noelle Estillore, Administrator, who indicated he was not able to attend the inspection since he was currently at another location. Caregiver then called Juan Ramirez, Co-Administrator. LPA spoke to Juan and stated the reason for todays inspection. Juan stated he was out of the area at this time and authorized caregiver, Martha, to act as Administrator Designee today, stating there is a signed LIC308 on file. LPA observed one to be on file The facility is approved for (6) non-ambulatory residents and has an approved hospice waiver for (6). There is (1) resident on hospice care. LPA and caregiver toured the interior and exterior of the facility. LPA observed it to be clean, in good repair and odor free. There were (2) residents in the common area and (3) residents in their rooms at the start of the inspection. All bathrooms have the necessary grab bars, non-skid flooring, and hand-washing posters. Administrator to place paper towels/holder in the front bathroom . There is sufficient 2+day perishable and 7+day non-perishable supply of food. Sharps are locked in the kitchen and toxins are locked in the kitchen and laundry area. Medications are secured in the office, and there is a separate locked mini-refrigerator for medications. Electronic medication system. The inside temperature was 74*F. Fire extinguisher was last serviced on 9/4/2024, and doors have alarms. LPA observed a complete First Aid kit. PPE and paper supplies. Required postings are in the common area. Administrator RCFE Certificate #6033614740- exp 2/9/25. There is a back yard walking path, one unlocked exit gate, and no pools. Resident and staff files are set up and organized. LPA reviewed (3) resident files and found them to contain current paperwork. (3) staff files were reviewed. Lead staff has current CPR certification. Infection Control Plan and Disaster plan on file- to be reviewed/signed at least annually. LPA interviewed staff and residents. A dministrator to provide a copy of current liability insurance and staff initial/annual training, current First Aid/CPR certification for all staff to LPA by 9/27/24. There are no deficiencies issued in this report. Exit interview with authorized staff. Copy of report left at the facility.