Routine inspection·November 7, 2024

Licensing Program Analysts (LPAs) Iby Strong and David Roman conducted an unannounced Required Annual Inspection. The facility file was reviewed prior to the visit. LPAs were welcomed by, identified themselves to, and discussed the purpose of the visit with Caregiver Elisa Jones. Administrator David Gonzales. According to the facility’s license, the facility has a maximum capacity of six clients, of whom all may be non-ambulatory. LPAs toured the interior and exterior of the facility and inspected each room. The facility was sanitary, and in good repair. Pathways were free of obstruction and slip hazards. Resident bedrooms contained the required furnishings. Doors, windows, toilets, and showers were in working order. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and resident activities. The outdoor trash bins did not have lids. Cooking/dining equipment and utensils were present. Medications were labeled, as required, but pre-poured. No pools or bodies of water on the premises. Per David, no firearms or ammunition are kept at the facility. Carbon monoxide detectors, emergency lighting, and facility telephone were all working. Fire extinguisher(s) were present. First aid kit(s) were complete and readily accessible. Resident records reviewed had required documentation, Resident 1 (R1) who is diagnosed with a major neurocognitive disorder does not have an updated physician report. Additionally, the auditory alarm on doors leading to the outdoors were not in working condition. Staff records reviewed contained required documentation. An exit interview was conducted with Administrator David Gonzales, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22), LIC 809-D and LIC 9201 were provided during the visit.