Routine inspection·May 24, 2021

Unannounced annual visit made out to this facility on 05/24/2021 by LPA Yang who was met by the facility designated Administrator, Cleofe Malonzo, and was briefly interviewed. Current census was 4 residents. This facility is vendorized through Valley Mountain Regional Center to accept and retain residents in a Level 4C setting. Tour of this facility was conducted. Fire extinguisher, located in kitchen area, was observed to have been annually purchased on 03/21/2021. Kitchen area was toured. Cabinets and drawers were reviewed to make sure that they were functional and in good repair at this time. Food supply was reviewed for adequate 2-day perishable and 7-day nonperishable quantities. Drawers containing knives and cleaning supplies were observed to be locked and made inaccessible to the residents at this time. Common areas intended for resident use were observed to be furnished and maintained able to meet the needs of the residents at this time. Resident rooms were toured. Furniture and furnishings were observed to be sufficient and able to meet the needs of the residents at this time. Resident restroom was toured. Grab bars and non skid mats were observed to be present and in good repair at this time. Hot water temperature was taken and measured to make sure that it was within the allowed range of 105-120 degrees. Medication cabinet was observed to be locked and made inaccessible to the residents at this time. A review of the medication and Medication Administration Record was conducted. Resident medications were observed to be prepackaged and sorted in blister packs from the responsible pharmacy with a 30 day supply. Laundry area was toured. Chemicals, cleaning agents, and bleach were observed to be locked and made inaccessible to the residents at this time. First aid kit was observed to be present and contained all required components in the medication cabinet at this time. Linen closet was observed to be stocked and maintained with adequate supplies able to meet the needs of the residents at this time. Garage area was toured. An additional refrigerator/freezer was observed to be present storing food supplies for the facility staff. A tour of the facility exterior grounds was conducted. Side gate, perimeter fence, and exterior exits were reviewed. There were no deficiencies observed or cited during today's annual visit. Exit Interview