Routine inspection·October 24, 2023

At 10:00am on 10/24/2023, Licensing Program Analyst (LPA) Jeffries arrived unannounced at the facility to conduct the annual inspection. LPA met with Administrator Karina Rameirez Vazquez, announced who he was and the reason for the visit. At 10:30am, Staff 2 (S2) conducted a cursory tour of the facility. LPA noted that the facility was clean and in good repair. LPA noted that the back yard had chars and a pergola for shade for residents use. LPA noted that the medications were locked in closet near front entrance. LPA noted that there are combination smoke and carbon monoxide detectors in every room of the facility. LPA noted that the fire extinguisher in the kitchen was primed in the green, LPA observed resident bedrooms meeting all regulations requirements including linin, lighting and storage. LPA noted that a sample medication audit was conducted during the facility tour and found centrally stored medication log to be accurate. LPA observed at least 2 days of perishable foods and at least 7 days of non-perishable foods. LPA noted that the bathroom door at the end of the hallway required adjustment, Licensee contacted contractor during visit to have bathroom door adjusted to fit and will follow up with LPA next day (10/25/23) of repair. LPA conducted a sample review of resident files and a sample review of staff files and found files to be complete per regulations. LPA noted that the facility was clean and in good repair, and no passage ways, exit and doors were free of obstacles and were not blocked. At 11:30am Licensee and LPA conducted a full review and the annual care tools. Upon review one citation was noted: Laps of liability Insurance. No other violations, citations or technical were found during the full review of care tools. At this time there is one citation issued as a result of the annual inspection. Exit interview, citation issued, appeal rights and report provided.