Routine inspection (multi-day)·January 25, 2022

Licensing Program Analyst (LPA) Ruth Wallace arrived to conduct an unannounced 1 Year Required Inspection on 01/25/2022. LPA met with Administrator Angelica Velasquez and explained the purpose of the visit. Angelica Velasquez's Administrator Certificate #6003830740 expires on 07/07/2023. The facility is a single story building licensed to serve six (6) non-ambulatory residents and has a hospice waiver for 2 residents. LPA toured the physical plant including but not limited to two resident bedrooms, two resident bathrooms, garage and backyard area. LPA observed the facility to be free of odor, clean and in good repair. LPA observed sufficient furniture and lighting throughout the facility. There are no bodies of water present. LPA observed sufficient seven day non-perishable and two day perishable food supplies. Hot water temperature was measured at 116.3 F degrees Fahrenheit in resident bathroom sink, which is within the required regulation of 105 to 120 degrees Fahrenheit. Fire extinguishers and smoke and carbon monoxide detectors are in compliance with fire safety. Fire extinguishers expire 03/09/2022. Thermostat observed at (71) degrees Fahrenheit. LPA observed centrally stored medications, toxins and sharp knives were locked and inaccessible to residents. LPA reviewed and compared resident medication vs. resident medication logs. LPA reviewed resident and staff files, including criminal record clearances. LPA reviewed Fingerprint clearance and associations to the facility. First aid kit was checked and is complete. There were no deficiencies found at this time. Exit interview held with Angelica Velasquez and a copy of report given at the conclusion of the visit.