Routine inspection·November 29, 2023

Licensing Program Analyst (LPA) Sabel Martinez conducted an unannounced Required Annual Inspection. The LPA introduced himself and disclosed the purpose of the visit to Administrator Marilena Villa. Per facility License, the facility was approved for a capacity of six (6), with five (5) being non-ambulatory, and one (1) bedridden in room 1 or 4, and a hospice waiver for two (2). Administrator Todd Brooks arrived during the visit and assisted with facility records. Accompanied by Administrator Villa, the LPA toured the interior and exterior of the facility, and inspected each room. The facility was clean, sanitary, and in good repair. Resident bedrooms contained the required furnishings. Doors, windows, toilets, and showers were in working order. Extra lines, and sufficient space to facilitate dining, laundry, visitation, meetings, and client activities, was observed by the LPA. There was at least 2 days of perishable food, and at least 7 days non-perishable food present, all safely stored. There were no toxic chemicals/poisons accessible to clients. Medications were labeled, as required, and stored in locked areas. No pools or bodies of water on the premises. Per staff, no firearms or ammunition were kept at the facility. Fire extinguisher(s), and required licensing postings were observed in visible areas of the facility. The LPA interviewed staff and reviewed multiple staff and client records/files. The files which LPA reviewed contained required documents. No deficiencies were observed or cited during today's annual inspection. An exit interview was conducted with Administrator Villa, to whom a copy of this report, and the Licensee/Appeal Rights (LIC9058), were provided.