Routine inspection·January 24, 2024

Licensing Program Analyst (LPA) Christi Coppo arrived unannounced to conduct a required Annual inspection and was greeted by Rafael (Omar) Mendoza, Administrator. Facility currently has 3 residents on hospice which is allowable per the facility's Hospice Waiver. Facility contact information was reviewed. At approximately 10:00am LPA and Admin toured the building and grounds. The facility was found to be clean and at a comfortable temperature. LPA observed at least a 2 day supply of perishable and 7 day supply of non-perishable food. Food was found to be stored in a safe manner with open items covered and labeled. All bedrooms were equipped with lighting, night stand, and chest of drawers. All bedrooms were clean and in good repair. Extra hygiene products and linens were available. Resident bathrooms had required bath mats and grab bars. Water temperature in sink(s) accessible to residents in care measured at 113.2 and 117.2 degrees F, respectively which is within the allowable range of 105 to 120 degrees F. Fire extinguishers were last inspected 2/10/2023. Facility's fire system is maintained by a vendor and the most recent test/service of the system was conducted 2/23/2023. Exit doors have an auditory alert system that was functional at time of inspection. Facility’s last quarterly disaster drill was conducted on 11/29/2023. Facility has a backup generator for use during a power outage. At approximately 12:30pm LPA conducted resident interviews. At approximately 2:30pm LPA conducted Staff interviews. No deficiencies cited during today's visit.LPA unable to complete annual inspection today, will return at a later date to complete. Any observed deficiencies will be addressed on return visit. Exit interview was conducted with Administrator and a copy of this report was provided.