Routine inspection·June 14, 2024

On June 14, 2024, Licensing Program Analyst(LPA) John Calandra arrived at the facility at 10:45 AM to conduct the unnanounced Annual 1-year required inspection. LPA Calandra was greeted by Violina Rodriguez, Caretaker and explained the purpose of the visit. Violina Rodriguez, Caregiver called Godfred Garduce, Administrator and Godfred joined the visit later along with Licensee, Anjesni Andrade. LPA Calandra observed 2 clients watching television in the living room and two care staff present at the facility. LPA Calandra toured the physical plant. This is a 1-story building with 2 bathrooms and 3 bedrooms, living room, kitchen, dining room, staff room, garage, front and back yards. All bedrooms had the required furniture and were sufficiently lit. No accessible bodies of water or hazards were observed. The Fire Extinguisher was last inspected on May 13, 2024 and observed to be fully charged. Smoke Alarms and Carbon Monoxide Detectors were observed to be in working condition. Per a conversation with Licensee, Anjesni Andrade, Smoke Alarms and Carbon Monoxide Detectors are directly connected to the fire department. The facility's first aid kit was observed to have the required sterile first aid dressings, bandages, scissors, tweezers, and thermometers. Hot water temperature in all bathrooms was measured between the required 105-120 degrees Fahrenheit. The facility was maintained at a comfortable temperature of 73 degrees Fahrenheit. The facility had the required 7 days of non-perishables and 2 days of perishables on hand. No food was expired. LPA Calandra reviewed 2 client files. All were observed to be complete. LPA Calandra also reviewed 4 staff records, all were observed to be complete except for S1's file which was missing the LIC 503: Health Screening Report and TB results. LPA Calandra interviewed 3 staff and 2 clients. A review of P&I records and money kept at the facility was conducted. All P&I money kept on the premises matched the records kept at the facility. A review of Centrally stored medications indicated that medications for residents were properly labeled with instructions on dosage and times of day and matched the Centrally Stored Medication Records(CSMR) kept at the facility. A Technical Violation was provided for not having documentation of S1's TB test results and S1's Health Screening Report. No deficiencies were cited during today's visit. LPA Calandra requested the following documents be sent to the Regional Office: -LIC 500: Personnel Summary Report -Liability Insurance This report was reviewed with Godfred Garduce, Administrator and Anjeshni Andrade, Licensee and a copy of the report left at the facility.