Routine inspection·November 21, 2024

Licensing Program Analyst (LPA) Sabel Martinez conducted an unannounced Required Annual Inspection. The LPA introduced himself and disclosed the purpose of the visit to Caregiver Tes Canoza. Staff Pat Santilla arrived during the visit and assisted the LPA. The facility was licensed for a capacity of six (6) non-ambulatory residents, of which five (5) may be bedridden in rooms 4,5,6 and 7. The facility also had an approved hospice waiver for two (2). Accompanied by staff, the LPA toured the interior and exterior of the facility. The exterior patio was clean, pathways were free of obstructions and trip hazards, and gates were unlocked. Doors, windows, screens, toilets, and showers were in working order. Resident bedrooms contained the required furnishings, and the facility had sufficient space and equipment to facilitate dining, laundry, visitation, and meetings. No pools, nor bodies of water were observed on the premises. A fireplace in the living room area was witnessed to not a have a screen. Per staff, no firearms, nor ammunition were kept at the facility. A carbon monoxide detector, facility telephone, and fire extinguisher were present and operational. Required licensing postings were observed in visible areas of the facility. 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 residents. Medications were labeled, and stored in a locked area. The LPA interviewed resident and staff and reviewed multiple staff and resident records. The LPA provided Technical Advise and deficiencies observed were cited in an LIC 809D form. Plans of correction were jointly formulated with Staff Pat Santilla. An exit interview was conducted with Pat Santilla, to whom a copy of this report, LIC 809D forms, LIC 811, and the Licensee/Appeal Rights (LIC9058), were provided.