Routine inspection·September 4, 2024

On 9/4/24 Licensing Program Analyst (LPA) Maja Jensen arrived at facility unannounced to conduct a required one year annual inspection. LPA Jensen met with care provider Maria Araiza and explained the purpose of today's visit. Maria Araiza advised LPA Jensen that she has submitted an application for licensure in anticpation of a change of ownership. Licensee Bonnaire Yepez has confirmed that she is in the process of transferring the licensure. LPA Jensen toured the grounds and found them to be well maintained with all paths clear of obstruction. LPA Jensen toured the interior and observed there to be adequate lighting and furnishings. There are currently 5 residents with 4 residents in the home and 1 resident in the hospital. The smoke detectors were determined to be in good working order. There are no carbon monoxide detectors in the home. LPA Jensen toured the kitchen and observed insufficient perishable food and non-perishable food. The perishable food was restocked in the presence of LPA Jensen and non-perishable food was ordered on line in the presence of the LPA to be delivered tomorrow. The fire extinguisher was last serviced in 2022 and was out of compliance. A new fire extinguisher was purchased and delivered during the course of this visit. The smoke detectors were observed to be in working order. There are no carbon monoxide detectors according to the care provider and LPA Jensen did not observe any. LPA Jensen Jensen reviewed the Medication Administration Record (MAR) for resident 1 (R1) and saw an ace inhibitor medication listed as a PRN. LPA Jensen checked the label and saw the medication was not a PRN. The medication came in a bubble pack and appeared to be administered on a daily however the number of pills remaining did not align with the dates listed on the Centrally Stored Medication and Destruction Record. The laundry room was inspected and cleaning products were observed that were accessible to residents in care. Various grooming supplies such shampoos, cleansers, wound treatment was also observed in 2 bedrooms to be accessible to residents in care. LPA Jensen conducted an interview with resident 2 (R2) It was learned that R2 has a wheel chair however the wheel chair does not fit through the bedroom door. LPA Jensen also observed that R2 is in need of podiatry care (photo taken). During the course of this visit a home health/social worker (SW1) came to visit R2. LPA Jensen asked SW1 to assist in arranging podiatry care for R2 and to address the need for R2 to have the ability to use her wheel chair. LPA Jensen observed 2 different topical medications in a resident closet for residents that are deceased. LPA reviewed the resident file for R2. The LIC had incomplete sections and a large portion of it was filled out by the resident. The resident was charged a rent increase for a change in condition but there was no change to the needs and service plan. The increase in rate was also not itemized. R2 uses a BIPAP machine and there is no mention of the BIPAP machine on the resident appraisal or needs and service plan. This annual inspection will require a continuation. Deficiencies are being cited and a civil penalty is being assessed. An exit interview was conducted and a copy of this report was provided.