Routine inspection·December 16, 2024

Licensing Program Analysts (LPA) Bernadette Allen made an unannounced visit to the facility to conduct an annual inspection. LPA was greeted by Licensee- Aspe Zenaida who allowed entry into the facility and she was informed of the purpose of the visit. 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 71 degrees. LPA inspected client bedrooms which are equipped with required furniture such as: mattresses, night-stands, storage space, and sufficient lighting; bathrooms were clean, and appliances were operating appropriately. LPA observed sufficient furniture and lighting throughout the facility. LPA measured and observed the water temperatures in the bathrooms to be between 105.7 -120 degrees F. The facility is equipped with operating smoke detectors and carbon monoxide detectors. Posters such as personal rights, the CCL complaint poster, and the disaster plan were posted in main area. Cleaning supplies, toxins, sharps, and other dangerous items were kept inaccessible to clients locked under the sink. Medications are are also kept inside a locked cabinet in the kitchen. Food Service: Non-perishable and perishable food supply is sufficient for the number of clients in care. Care & Supervision: Facility has sufficient care staff for coverage 24 hours a day, 7 days a week. All staff members working in the facility have criminal record clearance through the department. Record Review: LPA reviewed two (2) client files for admission agreements, physician reports, and needs and services plans. The licensee has a physicians report for Client 1(C1) however it was not signed by their physician. The licensee has agreed and called the physician during the visit to get document signed. Licensee has agreed to email LPA a copy of signed report by 12/23/2024. LPA also reviewed two (2) staff files for First Aid/CPR certification, criminal record clearance, training's, and health screenings. Medications were audited at random and appeared to be dispensed appropriately by staff members. An exit interview was conducted, and this report was discussed and provided to Licensee Aspe Zenaida at the conclusion of the visit with appeal rights.