Routine inspection·February 19, 2025

On 2/19/2025, Licensing Program Analyst (LPA) Janette Romero made an unannounced visit to the facility to conduct a required annual inspection. LPA met with Caregiver, Joanna Dizon who was informed of the purpose of the visit. The facility has an approved hospice waiver for six (6) and a fire clearance to serve six (6) non-ambulatory elderly adults. LPA toured the facility with Caregiver Dizon and observed the facility is made up of a one-story home with six (6) resident bedrooms, two (2) resident bathrooms, a visitor restroom, kitchen, dining room, and attached garage. Resident bedrooms had the required bedding, furniture, and lighting. Bathrooms had grab bars and non-skid mats in the showers. No bodies of water were observed on the premises. Indoor and outdoor passageways were free of obstruction. The facility has more than two-day supply of perishable foods and seven-day supply of non-perishable foods, which are stored in a safe and healthful manner. Medications are secured in a locked medication room near the kitchen. LPA toured the garage and observed an operating laundry washer and dryer along with additional incontinent supplies, cleaning solutions/disinfectants, food and water. Caregiver Dizon tested one of the smoke alarms/carbon monoxide detectors and LPA observed it to be operational. LPA also observed charged fire extinguishers mounted throughout the facility. The facility's certificate of liability insurance expires on 3/1/2025. Staff present have a criminal record clearance and are associated with the facility. Resident files reviewed had updated physician's reports and signed admission agreements. Long Term Care Ombudsman's contact information, complaint procedures, and facility sketch are visibly posted near the front entrance and kitchen. During today's visit, LPA did not observe any issues or concerns. An exit interview was conducted and a copy of this report was reviewed and provided to Caregiver Dizon.