Routine inspection·October 9, 2023

Licensing Program Analyst (LPA) Magda Malcore made an unannounced required annual inspection to the facility. LPA met with Margie Labayog, 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 (6) residents. 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 outdoor pool is fenced and locked inaccessible to residents in care. Facility backyard is enclosed by a fence with self-closing gates and covered patio is sufficient for outdoor resident activities. LPA inspected the kitchen. The refrigerator and two (2) freezers are operating in a healthful manner. Hot water temperature is maintained at 105 degrees F. Facility has sufficient non-perishable and perishable food supply for residents in care. Facility has sufficient cups, plates, and utensils for resident use. LPA observed equipment was not kept clean as kitchen stove was saturated with old grease. LPA inspected residents bedrooms. Bedrooms are equipped with beds, bed linen, nightstands, chairs, storage space and sufficient lighting. LPA inspected residents bathrooms. Bathrooms are equipment with grab rails and are fully operational. The hot water temperatures tested between 106 and 108 degrees F. LPA observed facility has operating carbon monoxide alarms and telephone service. Facility has posted in a common area Community Care Licensing complaint telephone number, emergency telephone numbers, and evacuation plan. Facility has a complete first aid kit and extra first aid supplies. Facility has sufficient linen, towel, emergency supplies, and personal hygiene products for residents. Sharps, disinfectants, cleaning solutions, and toxins are kept safe in a locked cabinet. LPA observed client medications are kept in a safe in a locked cabinet. All medications are labeled and administered as prescribed. LPA reviewed staff files for first aid certifications, fingerprint clearances, health screenings, training, and personnel records, all had the required documentation. LPA reviewed resident files for admissions agreements, physician's reports, pre-admission assessments, personal rights, and safeguarded resource records. Admissions agreement and pre-admissions appraisals for resident #1 (R1) were not maintained at the facility for licensing agency review. Resident #2 (R2) last physician's assessment on file was conducted on 11/13/2018. Deficiencies were cited during today's visit. An exit interview was conducted, where the licensing reports and plan of corrections were discussed and copies of the reports with appeal rights were provided to the Administrator at the conclusion of the visit.