Routine inspection (multi-day)·March 13, 2024

Licensing Program Analyst (LPA) Sabel Martinez conducted an unannounced Annual Continuation Inspection. The LPA introduced himself and disclosed the purpose of the visit to Administrator Yanet Puentes. The facility was licensed for capacity of six (6) non-ambulatory residents, and approved for a hospice waiver for six (6) residents. During the annual visits the facility was clean, sanitary, and in good repair. Pathways were free of obstruction and slip hazards. Client bedrooms contained the required furnishings. Doors, windows, screens, toilets, and showers were in working order. Extra linens and hygiene supplies were present. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and client 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 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. A carbon monoxide detector, facility telephone, and fire extinguisher were present. Required licensing postings were observed in visible areas of the facility. The LPA interviewed staff and reviewed multiple staff and client records/files. Technical advised was provided and deficiencies noting missing documents were cited in an LIC 809D. 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, and the Licensee/Appeal Rights (LIC9058), were provided.