Routine inspection·December 16, 2024

Licensing Program Analyst (LPA) Janira Arreola conducted an unannounced annual required visit. LPA was granted entry and met with Licensees Jesse Madera and John Prevel who were informed of the purpose of the visit. At the time of the visit there was (4) staff and (4) residents present. The facility is a one story home with (4) bedrooms and (3) bathrooms for residents. No pools or firearms are being kept at the facility. LPA observed the following: Physical Plant: Physical plant, floors, windows, and doors were observed to be clean. Fixtures and furniture were in good repair were present. The outdoor area was observed to be free of hazards. Laundry equipment was observed to be in good working condition. The sharp and dangerous objects were observed to be locked and inaccessible to residents in pantry closet. The smoke detector and carbon monoxide was operational, and the hot water temperature 115F. Food Service: LPA observed facility kitchen had the ability to prepare food in clean environment and possessed equipment in good working condition. LPA observed the facility met the required 2-day supply of perishable and 7-day supply of non-perishable foods. Care & Supervision / Administration: Adequate staff are present for the supervision of clients during the visit. The current administrator, possesses a current administrator's certificate. Record Review and Resident/Staff Files: LPA reviewed (3) staff files and training. All staff have criminal clearance and updated training along with CPR/First Aid Certification. (4) resident files were reviewed, and possessed all required paperwork. Technical note was documented for Resident whose LIC602 reflects a bedridden status, when based on observation and interview the resident is able to reposition themselves in bed. Recommendation was made for licensee to obtain an accurate LIC602 to reflect ambulatory status for the resident. Health Related Services/ Incidental Medical Services: All resident medication was locked in closet. LPA reviewed resident medications for (4) residents and found all medication listed on MARS and accounted for. Disaster preparedness: LPA reviewed the facility's emergency and disaster plan. LPA reviewed documentation showing the facility's last fire drill 12/2/2024, which met the department requirements. LPA observed all facility exits were clear from obstructions. No deficiencies were cited at the time of the visit. An exit interview was conducted where this report was reviewed and provided.