Routine inspection·July 18, 2023

Licensing Program Analyst (LPA) Magda Malcore made an unannounced visit to the facility to conduct a required annual inspection. LPA met with Heidi Vendiola, Licensee and discussed the purpose of the visit. The facility is a Residential Care Facility for the Elderly (RCFE). Licensed capacity is (6) with a hospice waiver for (2). The current census is (3). LPA conducted an overall inspection of the facility, which included, but was not limited to, the following: LPA inspected the facility inside and out. Indoor passageways were kept free of obstruction. The facility has sufficient furniture and activity space for clients in care. The facility has sufficient lighting and is maintained at a comfortable temperature 77 degrees F. LPA inspected the kitchen. Facility has sufficient non-perishable and perishable food for the number of clients in care. Facility has a sample menu on file. Sharps are stored and kept locked and inaccessible to clients in care. LPA observed grime above the kitchen stove and wall . Licensee stated that the stove vent was not working properly causing the grime. Licensee had facility staff immediately clean the area. LPA observed flies in a open container with full of grapes. LPA observed on flies on lemons and grapefruit which were set on the kitchen counter. Licensee immediately discarded the fruit. Deficiency cited. LPA inspected (3) client bedrooms. Bedrooms are equipped with required furniture such as: mattresses, nightstands, chairs and storage space. Bedrooms have sufficient linen and lighting. LPA inspected (3) client bathrooms. Bathrooms were equipped with handrails and operating in safe and sanitary conditions. LPA observed the facility is equipped with operating carbon monoxide alarms and fully charged fire extinguisher. Fireplace adequately screened and operating telephone service. Posters such as personal rights, Complaint reporting, Ombudsman reporting, the disaster plan were posted in a common area. Cleaning supplies, toxins, items were kept locked and inaccessible to clients in care. Medications are kept in a safe and locked cabinet inaccessible to clients in care. LPA reviewed (3) client medications. All medication were administered as prescribed and labeled as required by State and Federal laws. LPA file review reveals that medication records were not updated. Deficiency cited. All staff files reviewed for criminal record clearance, training, and health screenings. LPA file review revealed Administrator/Licensee certification is expired. Licensee stated they are in process of r enewing the certification and sent the certified check to Licensing on 5/16/23. All client records reviewed has admissions agreements, physician's report, and personal rights statements. Based on the observations made during today’s visit, Deficiencies were cited during this visit. An exit interview was conducted where report(s) LIC809, LIC809C, LIC809D, LIC9102 were discussed and a copy with appeal rights was provided to the Licensee at the conclusion of the visit.