Routine inspection (multi-day)·February 23, 2024

Licensing Program Analyst (LPA) Teresa Camara arrived at the facility unannounced to conduct a continuation of the required annual visit. LPA met with administrator Rose Marie Lopez and explained the reason for the visit. During LPA's prior visit on 2/2/2024, LPA conducted a physical plant tour, health and safety check, and reviewed staff records. During today's visit LPA conducted interviews, reviewed records and medications. RESIDENT INTERVIEWS AND RECORDS: LPA interviewed two residents; there were no concerns stated. LPA reviewed five residents' records. All records were complete with pre-admission appraisals, needs and services plans, physician reports, admission agreements, and emergency contact information. LPA reviewed medications which appeared to be given as prescribed. STAFF INTERVIEWS AND RECORDS: LPA interviewed two staff who were all able to answer the questions appropriately; no concerns noted. During LPA's previous visit records were reviewed and all staff scheduled at the facility were fingerprint cleared and associated to the facility. DISASTER PLAN: LPA reviewed the facility's disaster plan which appeared to be complete. The facility conducts quarterly evacuation drills with all staff. No deficiencies were observed. Exit interview conducted. A copy of the report was issued.