Routine inspection·August 5, 2024

At 10:00am on 08/05/2024, Licensing Program Analyst (LPA) Jeffries arrived at the facility unannounced to conduct the annual facility inspection. LPA met with administrator Nellie Corrals, announced who he was and the reason for the visit. Administrator and LPA conducted a physical tour of the facility. LPA noted that there is a carbon monoxide detector, smoke detectors,and fire extinguisher present and all functioning within regulation requirements. LPA noted that there is an older alarm/smoke detector system located in the facility. Administrator will have expert contractor to assess the need of secondary alarm/smoke detectors functionality and review if they can operate or need it to be removed. LPA noted that all hallways and doors are free from obstruction and no hazards were noted. LPA noted that there are 4 bedrooms and 2 bathrooms. 3 bedrooms are double occupancy rooms and one is large bedroom is currently single occupancy. LPA noted that all residents bedrooms meet all regulation requirements. LPA noted that the shared bathrooms meet all regulation requirements. LPA observed at least two days of perishable foods and seven days of non-perishable foods on hand at the facility. LPA noted that the facility is clean and in good repair. LPA noted that there is a fenced front patio with table and umbrella for shade as well as a back patio with pergola for shade. LPA noted that all files and medication are located in a locked cabinet in the dinning room area. LPA conducted a staff file review, and resident file review. LPA conducted a sample medication audit which reviewed the Centrally Stored Medication Records (CSMR) for all residents currently in care. Licensee and LPA conducted a full review of the annual care tools. LPA noted that facility agreed to conduct a facility emergency drill in the next 24 hours and document that drill for each shift. LPA noted that there were no citations issued from the annual care tools and no violations or citations issued as a result of the annual facility physical walk through tour. There are no citation for this annual inspection. One staff and one resident interviewed. Exit interview, report read, and report provided.