Routine inspection·July 15, 2024

Licensing Program Analyst (LPA) Cuadra arrived unannounced to conduct an Annual Required inspection and met with Licensee, Lisa Melo. Required postings were observed. Annual fees are current. LPA/Licensee initiated a tour of the facility around 9:00 am and made the following observations: Facility was a comfortable temperature and passageways were free from obstructions. Residents rooms were furnished per regulation. Extra hygiene products and linens were available. 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. Hot water temperature in bathrooms used by residents measured at 105.2, 105.1 and 106.1 degrees F which are within the range of 105 to 120 degrees F allowed per regulation. Fire extinguisher was last serviced December 18 2023. Smoke detectors and carbon monoxide detector in the hallway was tested and properly working. Last disaster drill conducted on May 29, 2024. Disinfectants and cleaning solutions were stored inaccessible to residents. Administrator Certificate for Lisa Melo, 6022235740, expires on 11/16/2024. LPA initiated file review at 9:30 am. LPA reviewed four residents files and three staff files. All residents have their medical assessments and care plans updated within the last 12 months. Staff records have current First Aid/CPR certificates. One out of three staff (S1) did not have all additional 20 hours of required training (technical advisory issued). Per Licensee, S1 probably forgot to print the completed certificates to the file, but they were unable to provide them during the visit. Medications and medication records were reviewed. Licensee will submit updates of the following documents by 7/26/24: Designation of Administrative Responsibility (LIC308) and Personnel Report (LIC500). -Copy of Liability Insurance (was submitted during visit). No deficiencies were issued during this visit. Exit interview was conducted with Licensee and a copy of this report was provided.