Routine inspection·August 18, 2023

Licensing Program Analyst (LPA) Magda Malcore made an unannounced visit to the facility to conduct a required annual inspection. LPA met with Nina Molano, Administrator, and discussed the purpose of the visit. The facility is a Residential Care Facility for the Elderly (RCFE). License capacity of (6) clients with a current census of (3). Hospice waiver for (2). 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 and outdoor passageways are free of obstruction. The facility has sufficient lighting and is maintained at a comfortable temperature. Facility has sufficient indoor and outdoor space for client use. Facility outdoor pool is empty and observed secured with a locked fence inaccessible to clients in care. Facility backyard has a covered outdoor patio area sufficient for clients. LPA inspected the kitchen. The refrigerator and freezers are maintained in a safe and healthful manner. Hot water temperature is maintained with regulations. Facility has sufficient non-perishable and perishable food supply for the number of clients in care. Facility has sufficient cups, plates, and utensils for client in care. LPA inspected client bedrooms. Bedrooms are equipped with beds, linen, nightstands, chairs, storage space and sufficient lighting. LPA inspected client bathrooms. Bathrooms are operating in a safe and sanitary condition. Bathroom hot water temperatures tested within regulations. LPA observed the facility is equipped with operating carbon monoxide alarms. Facility has operating telephone service on the premises. Fireplace is adequately screened . Posters such as Ombudsman contact, "See Something, Say Something" contact, emergency plan and phone numbers are posted in a common area. Facility has sufficient supply of linen, towels, and personal hygiene products. Disinfectants, cleaning solutions, toxins, sharps are kept locked and inaccessible to clients in care. Client medications are kept in a safe and locked cabinet inaccessible to clients in care. Facility did not have documentation of when prescribed medication is being administered to clients. Deficiency cited. All staff files reviewed had first aid certifications, fingerprint clearances/exemptions, health screenings, employee rights and personnel records. All client records reviewed had admissions agreements, physician's reports, personal rights statements, safeguarded resources records. An exit interview was conducted, where reports (LIC809/LIC809D) were discussed and a copy of reports with appeal rights was provided to at the conclusion of the visit.