Routine inspection·May 19, 2023

Licensing Program Analyst (LPA) Cuadra arrived unannounced to conduct an Annual Required inspection and met with Licensee David Hanna and Adalberto Ojeda, Administrator. There are residents with a diagnosis of dementia or hospice. LPA/Administrator initiated a tour of the facility and made the following observations: facility was a comfortable temperature and passageways were free from obstructions. Resident rooms were furnished per regulation. Extra hygiene products and linens were available. Cleaning supplies are locked in supply closets. 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 in medication cabinet. Smoke/Carbon Monoxide detectors located throughout the facility that were tested and operational. Exit doors have auditory alert system that were functional at time of visit. Medications and medication records were reviewed. Fire/disaster drill has been conducted in January 2023. Three out of three fire extinguisher were last inspected July 2023. Three staff files and six resident files were reviewed. Staff does have current required First Aid, CPR certificates and annual required training hours. All residents have their medical assessment and care plans updated within the last 12 months. Administrator and LPA discussed their Emergency Disaster Plan and Infection Control Plan. Administrator Certificate for Administrator, Adalberto Ojeda #6035345740 expires 5/10/2024. Required postings were observed. Water temperature in resident bathroom measured 112.1 and 114.6 degrees F which are within allowable range of 105 to 120 degrees F. Licensee agreed to submit updates of the following documents by 5/29/23: Designation of Administrative Responsibility (LIC308), Personnel Report (LIC500), current lease agreement & copy of Liability Insurance. No deficiencies cited during today's inspection. Exit interview conducted with Licensee and a copy of this report was given.