Routine inspection·March 24, 2023

Licensing Program Analyst (LPA) Jenny Olson conducted an unannounced Annual visit to the facility above. LPA met with Leilanie Acosta Vea at 10:05 AM, and explained the purpose of the visit. Administrator stated there are 5 residents currently living in the facility. The facility has 5 bedroom's and 3 bathrooms. 2 resident bedrooms are occupied by single residents, one double room is occupied by a single resident and one double room is occupied by 2 residents. One room is being used as an office. LPA observed all necessary postings in the living room. LPA toured the entire inside and outside of the facility with Administrator. There is ample room outside for residents to be outdoors with a table, chairs and awning for shade. LPA observed the refrigerator, cabinets, microwave, and oven to be clean with enough food for residents. Medications were observed locked and secured in a cabinet located in the office. Around 2:30 PM LPA tested the water temperature and observed it was at 105 degrees F. At 2:35 PM LPA tested the fire/carbon monoxide detector and observed them to be working and operational. LPA observed the facility to be clean and in good repair with all passageways and exits to be free and clear of debris and obstacles. Around 10:15 AM LPA reviewed facility staff files for completeness. Around 10:45 AM LPA reviewed facility resident records for completeness. Around 11:30 AM LPA and Administrator conducted a full CARE Tool Facility Inspection. Around 12:40 PM LPA observed a fire extinguisher charged and last inspected on 2/13/23. Around 12:45 PM LPA Interviewed 2 staff and 2 residents who were present. Around 2:00 PM LPA conducted a cursory medication audit and reviewed CSMDR and medications paperwork and discussed with administrator the importance of keeping it up to date. . Exit Interview conducted, a copy for the report was issued to facility.