Routine inspection·December 31, 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 Reyner Grangos. Licensee Azila Ortiz arrived during the visit and introduced herself to the LPA. Administrator Jeremy Bagaoisan also arrived during the visit and assisted the LPA. The facility was licensed for a capacity of six (6) non-ambulatory residents, with one bedridden approved in bedroom number four (4). The facility also had an approved hospice waiver for four (4) residents. The LPA, accompanied by caregiver, toured the interior and exterior of the facility, and inspected resident bedrooms. The facility was clean, and sanitary. Pathways were free of obstruction and slip hazards. The exterior perimeter fence was observed to be in disrepair. Resident 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, visitation, meetings, and resident 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 residents, and medications were labeled and locked. No pools, nor bodies of water were observed on the premises. Per staff, no firearms nor ammunition were kept at the facility. Carbon monoxide detectors, emergency lighting, and fire extinguisher(s) were present and operational. Required licensing postings were observed in visible areas of the facility. The LPA conducted interviews and reviewed staff and resident files. The LPA technical advise and deficiencies discovered during the the review of records were cited in an LIC 809D form, and a Plan of Correction was jointly formulated with Administrator Bagaoisan. An exit interview was conducted with Administrator Bagaoisan, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058), were provided via email. An email read receipt confirms the report was received by the administrator.