Routine inspection·October 30, 2023

Licensing Program Analyst (LPA) Sabel Martinez conducted an unannounced Required Annual Inspection visit. The LPA introduced himself and discussed the purpose of the visit to Caregivers Melisande Bauzon and Julius Sevilla. The facility was licensed for a capacity of six (6) non-ambulatory residents and a hospice waiver of four (4). At the time of the visit, the facility had a census of four (4) residents. The LPA, accompanied by caregiver Bauzon, toured the interior and exterior of the facility, and inspected each room. The facility was clean, sanitary, and in good repair. Pathways were free of obstruction and slip hazards. Client bedrooms contained the required furnishings. Doors, windows, screens, toilets, and showers were in working order. Extra linens and hygiene supplies were present, as well as Personal Protective Equipment. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and client activities. There was at least 2 days of perishable food, and at least 7 days non-perishable food present, all safely stored. Cooking/dining equipment and utensils were present. There were no toxic chemicals/poisons accessible to clients. Medications were labeled, as required, and stored in locked areas. No pools, nor bodies of water were witnessed on the premises. Per Staff Bauzon, no firearms nor ammunition were kept at the facility. Fire extinguisher along with smoke alarms were present. Required licensing postings were observed in visible areas of the facility. LPA interviewed staff and reviewed multiple staff and client records/files. No deficiencies were observed nor cited during today's annual inspection. An exit interview was conducted with Caregivers Bauzon and Sevilla, to whom a copy of this report, and the Licensee/Appeal Rights (LIC9058), were provided.