Routine inspection·December 9, 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 Staff Romelia Solis and Volunteer Patricia Moreno. Administrator Yanet Puentes arrived during the visit and assisted the LPA. The facility was licensed for a capacity of six (6) non-ambulatory residents. The facility also had an approved hospice waiver for four (4). The LPA 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. Bedrooms contained the required furnishings. Doors, windows, screens, toilets, and showers were in working order. Bathroom sinks and showers delivered water within the required range. 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 clients. Medications were labeled and stored in locked areas. No pools, nor bodies of water were observed on the premises. Per staff, no firearms ,nor ammunition were kept at the facility. Carbon monoxide detector and facility telephone were all working. Required licensing postings were observed in visible areas of the facility. The LPA interviewed staff and reviewed multiple staff and client records. The LPA provided technical advise and cited deficiencies in an LIC 809D form. A plan of correction was jointly formulated with the administrator. An exit interview was conducted with Administrator Puentes, to whom a copy of this report, LIC 809D, LIC 811 forms, and the Licensee/Appeal Rights (LIC9058), were provided via email. An email read receipt confirms the documents were received by the administrator.