Routine inspection·November 4, 2024

On 11/04/24, Licensing Program Analyst (LPA) Eldin Serrano arrived unannounced to conduct the required annual visit to the facility. LPA met with Staff, Maria Ventress and introduced self and stated purpose of the visit. LPA was informed that there are no residents in the facility. The facility has 3 bedrooms, 2 bathrooms, kitchen, 2 dining areas, living room, laundry, backyard, and attached garage. LPA completed a walk through of facility and review of records. Physical Plant: The facility is operating in the capacity approved by Community Care Licensing (CCL). There are no obstructions to indoor and outdoor passageways. The facility is maintained at a comfortable temperature of 74 degrees fahrenheit. LPA inspected resident bedrooms; they are equipped with required furniture such as: mattresses, night stands, storage space, chairs and sufficient lighting. LPA inspected resident bathrooms; bathrooms were clean and appliances were found functional. LPA observed missing grab bars in the bathroom. Citation will be issued. Water temperatures tested at 116.6 degrees fahrenheit. The facility is equipped with operational smoke detectors, carbon monoxide alarms, and first aid kit. Posters such as; the facility license, ombudsman and CCL complaint poster were posted in a common area. Cleaning supplies, toxins, and other dangerous items were kept locked in the garage and inaccessible. There was a designated storage space for resident/staff files. There is a locked closet in the hallway that is used for medication storage and sharp items. There is no swimming pool, bodies of water, firearms or ammunition in the facility. Overall, the facility is clean, in good repair, and operating in safe conditions. Food Service : Non-perishable and perishable food supply is sufficient. Facility has a wide variety of food available. Dishes, cups, and utensils were also stored properly. Yards/Outside: One shaded patio, side gate with self-latching handle on the left side of the house that leads into the backyard. All outdoor pathways were free of obstructions. Care & Supervision: Facility has sufficient care staff for coverage 24 hours a day, 7 days a week. Record Review: LPA reviewed administrator file for First Aid/CPR certification, criminal record clearance, trainings, and health screenings. LPA observed an expired administrator's certificate and first aid/cpr certification. Citation will be issued. LPA wasn't able to inspect the Infection Control Plan, Emergency Disaster Plan, fire drills and liability insurance due to staff not having access. . Citations were issued during this visit. An exit interview was conducted where this report LIC809, LIC809C, LIC809D and Appeal Rights were discussed and copies were provided to staff, Maria P Ventress.