Routine inspection·March 14, 2024

Licensing Program Analyst (LPA) Dawn Segura conducted an unannounced required annual inspection. LPA identified herself, was granted entry into the facility, and met with Norma Nonay, Licensee, to whom LPA disclosed the purpose of the visit. According to the facility’s license, the facility is licensed for six (6) residents, all of whom must be ambulatory. During today’s inspection, there were two (2) residents in care. LPA, accompanied by licensee, toured the interior and exterior of the facility. Pathways were free of obstruction and slip hazards. Doors, windows, and screens were present and sinks and toilet were in working order. Hygiene supplies and Personal Protective Equipment were present. The facility had sufficient space and equipment to facilitate visitation, meetings, and activities. Hot water temperature in bathroom sink in bathroom that is used by residents measured at 110.8 degrees Fahrenheit. There were no sharp objects or open-faced heaters accessible to residents. A fireplace with appropriate screening was observed in the living area of the home. No pools or bodies of water were observed on the premises. Per the licensee, no firearms or ammunition are kept at the facility. Smoke alarms and facility telephone were in working order; however, the carbon monoxide detector that was present in the home did not work. Refrigerator and freezer were operational. 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. Medications were labeled, as required, and stored in locked cabinets. First aid kit was complete and readily accessible. LPA interviewed staff and client who were present. LPA also reviewed staff and client records/files. Staff 1's (S1) file contained proof of current first aid training, but staff did not have current CPR training. Confidential records were stored in a secured area. Deficiencies are being cited and a technical advisory provided today. A Plan of Correction was jointly developed with the licensee. An exit interview was conducted with Norma Nonay, to whom a copy of this report, the LIC 809-D, LIC 9102TA, and the Licensee/Appeal Rights (LIC9058 03/22) were provided at the end of the visit.