Routine inspection·February 18, 2025

Licensing Program Analyst (LPA) Arian Golbakhsh conducted an unannounced, required Annual Inspection. The facility file and personnel report was reviewed prior to the visit. LPA was welcomed by, identified themselves to, and discussed the purpose of the visit to caregiver and Romelia Solis and private caregiver Maria Del Rio. The facility's license shows a maximum capacity of six (6) non-ambulatory residents. The facility is also approved for six (6) hospice residents. During today’s inspection there were three (3) residents in care. LPA and Caregiver Damian Ordaz Arencibia toured the interior and exterior of the facility and inspected each room. Administrator Yanet Puente Lopez joined later in the visit. 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. Hot water temperature at taps accessible to clients were all compliant: Bathroom sink was 105F. Extra linens and hygiene supplies were present, as well as Personal Protective Equipment. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and client activities. The facility contained at least two (2) days of perishable food, and at least seven (7) days non-perishable food, all safely stored. Cooking, dining equipment, and utensils were present. Knives were locked and secured. [Continued on LIC 809-C] [Continued from LIC 809] During the tour, LPA noticed the doorway from the kitchen to the garage was not secured, presenting a risk for residents in accessing toxic chemicals and poisons kept in the garage.  Medications were labeled, as required, and stored in locked areas. No pools or bodies of water exist on the premises. Per caregiver Damian, no firearms or ammunition are kept at the facility. Carbon monoxide detectors, emergency lighting, and facility telephone were all in working order. Fire extinguisher was serviced within the last 12 months. First aid kit was complete and readily accessible. Required licensing postings were observed in visible areas of the facility. LPA interviewed (2) staff and (0) clients, and interviews did not reveal any licensing or regulatory concerns. LPA reviewed facility records. The files reviewed by LPA contained required documents, and it was revealed a private caregiver was present and working at the facility without a criminal background clearance. Confidential records were stored in locked areas. Two (2) deficiencies were cited during the inspection. An exit interview was conducted with Administrator Yanet Puente Lopez to whom a copy of this report and the Licensee/Appeal Rights (LIC 9058 03/22) were provided. Their signature below confirms receipt of these documents.