Routine inspection·January 24, 2024

On 1/24/24, Licensing Program Analysts (LPAs) Michelle Echeverria and Anna Bueno arrived unannounced to conduct the required annual visit to the facility. LPAs met with Licensee, Teresa Baddeley and introduced self and stated purpose of the visit. LPAs were informed that there are currently 6 residents in care. The facility has 5 bedrooms, 3 bathrooms, 2 kitchens, dining area, living room, family room, sitting room, office, laundry/medication room, attached garage and backyard. LPAs completed a walk through of facility, review of records and medication audit. 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. LPAs inspected resident bedrooms; they are equipped with required furniture such as: mattresses, night stands, storage space, chairs and sufficient lighting. LPAs inspected resident bathrooms; bathrooms were clean and appliances were found functional. Water temperatures tested at 109 degrees fahrenheit. The facility is equipped with operational smoke detectors, carbon monoxide alarms, charged fire extinguisher and first aid kit. Posters such as; the personal rights, emergency disaster plan, CCL complaint poster and ombudsman were posted in a common area. Cleaning supplies, toxins, sharps, and other dangerous items were kept locked and inaccessible to residents. There was a designated storage space for resident/staff files. Medications were observed locked and inaccessible to residents. There is no swimming pool, firearms or ammunition in the facility. Overall, the facility is clean, in good repair, and operating in safe conditions for residents in care. Food Service : Non-perishable and perishable food supply is sufficient for residents in care. Dishes, cups, and utensils were also stored properly. Yards/Outside: One shaded patio, side gate with self-latching handle on the left and right side of the house that leads into the backyard. Record Review: LPAs reviewed staff and administrator files for First Aid/CPR certification, criminal record clearance, trainings, and health screenings. LPAs reviewed resident files for admission agreements, updated physician reports, and needs and services plans. LPAs reviewed medication and observed altered labels, expired medication and medication not logged. Deficiencies issued. LPAs observed the Emergency Disaster Plan and Infection Control Plan incomplete. Deficiencies issued. Deficiencies were cited during this visit. An exit interview was conducted where this report LIC809, LIC809C, LIC809D and appeal rights were discussed and copies were provided to Licensee, Teresa Baddeley.