Routine inspection·May 9, 2025

Program Analyst (LPA) Marisela Garcia-Centeno conducted an unannounced Required Annual Inspection. LPA was welcomed by, identified herself to, and discussed the purpose of the visit with Administrator Carina Carmona. All staff at the facility had criminal record clearances on file. The facility is currently licensed for a maximum capacity of six (6) clients, of whom six (6) may be non-ambulatory. It is currently approved for hospice waiver for two (2) residents. During today’s inspection, six (6) clients were in care, and only one (1) resident was under hospice. LPA, accompanied by staff, toured the interior and exterior of the facility, and inspected resident bedrooms. The facility was clean, sanitary, and in good repair. Pathways were free of obstruction and slip hazards. Residents’ bedrooms contained the required furnishings. Extra linens, hygiene supplies were present and personal protective equipment were present. Hot water temperature was compliant. There was at least 2 days of perishable food, and at least 7 days non-perishable food present, all safely stored. There were no sharp objects, toxic chemicals/poisons, or open-faced heaters 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 are kept at the facility. Smoke alarms, carbon monoxide detectors, emergency lighting, and facility telephone were all working. Fire extinguisher(s) serviced within one year and is due for service on May 16, 2025. Liability insurance is active with an expiration of 6/1/2025. (continue at LIC809C) (continue from LIC809) The first aid kit was present with the handbook. Required licensing postings were observed in visible areas of the facility. LPA interviewed staff and reviewed multiple staff and resident records/files. LPA interacted with the residents in care, no violations were observed. The files which LPA reviewed contained the required documents. The administrator was advised of the requirements to conduct emergency drills as required per Title 22 regulations. Two (2) Staff had current CPR certifications and the other two (2) staff will be getting their CPRs this month. No deficiencies were cited during today's annual inspection; however, a technical advisory was issued. An exit interview was conducted with Carmona, to whom copies of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided at the end of the visit.