Routine inspection·June 17, 2024

Licensing Program Analyst (LPA) Iby Strong conducted an unannounced Required Annual Inspection. The facility file was reviewed prior to the visit. LPA was welcomed by, identified herself to, and discussed the purpose of the visit with Caregiver Blanca Vilchis. Administrator Michelle Retzer arrived shortly after. According to the facility’s license, the facility has a maximum capacity of six residents, of whom all may be non-ambulatory. LPA toured the interior and exterior of the facility and inspected each room. The facility was sanitary, and in good repair. 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. Cooking/dining equipment and utensils were present. There were no toxic chemicals/poisons accessible to residents. Medications were labeled, as required and kept inaccessible to residents. No bodies of water were present. Per Michelle, 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 were missing 5 resident needs and services. Per Michelle, documents are being updated at this time. Staff records reviewed contained required documentation. One technical advisory was issued for missing needs and services plans. No additional deficiencies were cited on today's visit. An exit interview was conducted with Administrator Michelle Retzer, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided during the visit.