Routine inspection·October 16, 2024

Licensing Program Analyst (LPA) Rebecca Ruiz conducted an unannounced Required 1-Year visit. The facility file was reviewed prior to the visit. LPA was greeted by, identified herself to, and explained the purpose of the visit with Caregiver Raymond Abedoza. The facility is licensed for a maximum capacity of 6 residents, 1 ambulatory and 5 non-ambulatory, 1 of which may be bedridden in Bedroom #6. The facility has a waiver for 5 hospice residents. During today’s visit, the facility had a census of 6 residents, 1 ambulatory, 4 non-ambulatory, and 1 bedridden. The Administrator for the facility is Lynn Drummond and their certificate was pending. During today's visit, LPA toured the facility, reviewed resident and staff records, and observed residents in care. During the facility tour, LPA observed unsecured cleaning chemicals stored in an unlocked cabinet under the kitchen sink. LPA also observed unsecured knives and scissors stored in a drawer in the kitchen that had a broken lock. LPA observed Caregiver Abedoza relocate cleaning chemicals and sharps to the facility garage which is secured by a number pad lock on the door during the visit. LPA also observed unsecured medications prescribed to a previous resident stored in the bottom of the refrigerator door. Caregiver Abedoza relocated previous resident's medications to a secured location. Due to time constraints, the annual inspection could not be completed and a return visit on a subsequent day is needed. LPA was away from the facility for approximately one hour between 12:00pm and 1:00pm. The following deficiencies were cited for unlocked medications and unlocked hazardous items and noted on the attached LIC809-D page. An exit interview was conducted with Caregiver Raymond Abedoza, whose signature below confirms receipt of a copy of this report and the Licensee Appeal Rights (LIC9058 3/22).