Routine inspection·October 9, 2023

L icensing Program Analyst (LPA) Magda Malcore made an unannounced visit to the facility to conduct a required annual inspection. LPA met with Lani Garcia, Administrator , and discussed the purpose of the visit. The facility is a Residential Care Facility for the Elderly (RCFE). License capacity of (6) with a current census of (5) residents. LPA conducted an overall in spection of the facility, which included, but was not limited to, the following: LPA inspected the facility inside and out. Indoor and outdoor passageways are free of obstruction. The facility is maintained at a comfortable temperature. Facility has no outdoor bodies of water. Facility backyard is enclosed by a fence with self-latching gates and shaded area is sufficient for resident activities. LPA inspected the kitchen. The refrigerator and freezer are operating in a healthful manner. Hot water temperature is maintained at 106 degrees F. Facility has sufficient non-perishable and perishable food supply for residents in care. Facility has sufficient cups, plates, and utensils for residents use. LPA inspected resident bedrooms. Bedrooms are equipped with beds, bed linen, nightstands, chairs, storage space, and sufficient lighting. LPA inspected resident bathrooms. Bathroom equipment is fully operational. Hot water temperature in bathroom #1 tested at 106 degrees F. Hot water temperature in bathroom #2 tested at 127 degrees F with no warning signs displayed. LPA observed operating carbon monoxide alarms and telephone service. LPA observed posted in a common area Community Care Licensing and Ombudsman posters. Emergency exiting plans and telephone numbers were not posted at the facility. LPA observed facility has a complete first aid kit. Facility has sufficient linen, emergency supplies, and personal hygiene products for residents. Sharps, disinfectants, cleaning solutions, and toxins are kept in a locked cabinet. Resident medications are kept in a safe and locked cabinet, inaccessible to residents in care. All medications are labeled and administered as prescribed. LPA reviewed staff files for first aid certifications, fingerprint clearances, health screenings, training, and personnel records. Staff #1 (S1) and staff #2 (S2) had incomplete health screenings. S1 and S2 job training verifications were not maintained in staff personnel files. LPA reviewed residents files for admissions agreements, physician's reports, assessments, and personal rights. All the required documentation. Deficiencies were cited during today's visit. An exit interview was conducted, where licensing reports and plan of corrections were discussed. Copies of the reports with appeal rights were provided to the Administrator at the conclusion of the visit.