Routine inspection·September 16, 2024

Licensing Program Analyst (LPA) Araceli Canela made an unannounced annual required 1 Year inspection of this licensed senior care facility. LPA met with care staff, Erika De La Paz; Evelyn Bayon Licensee/Administrator was present in the facility but ill and was only able to speak to LPA by phone. This facility is licensed for 6 non-ambulatory residents with a Hospice Waiver to allow 2 of the resident to be on Hospice. This facility does not have approval for bedridden and understands they do not have approval for a locked perimeter. LPA initiated a tour of the facility and made the following observations: Facility was clean, organized and at a comfortable temperature, with passageways free from obstructions. Residents rooms were furnished per regulation. Water temperature in bathrooms used by residents measured within the required range of 105 to 120 degrees F allowed per regulation. Extra hygiene products and linens were available. Cleaning supplies and sharps are locked. Facility has at least two days of perishable and one week of non-perishable foods which appeared to be of quality and stored per regulation. Medications were centrally stored and locked. Facility maintains emergency food and water supplies. Fire extinguishers were fully charged and last serviced May 14, 2024. Smoke and Carbon Monoxide detectors located throughout the facility were operational. Administrator Certificate for Evelyn Bayon, #6780740018 expires on 10/5/2024. Staff have First Aid and CPR certificates and training. LPA reviewed all resident files and contained all records. Three staff files were reviewed and had the required training and proof of CPR/1st aid. Medication records were reviewed and facility needs to ensure the centrally stored log is fully completed at all times. LPA reviewed medication. Continue report see LIC809-C Updated copies of the following documents were requested for facility file and are to be submitted to CCL by 10/14/2024: LIC500- Personnel Report LIC9020- Register of residents Evidence of Liability Insurance Copy of current Administrator Certificate No deficiencies cited during todays visit.