Routine inspection (multi-day)·February 25, 2025

Licensing Program Analyst (LPA) Esther Cortez arrived at the facility unannounced to conduct a continuation of the required annual visit on 02/06/25. LPA met with staff and explained the reason for the visit. Administrator Rose Marie Lopez arrived at approximately at 2:30 PM. During LPA's prior visit on 2/06/2025, LPA conducted a physical plant tour, health and safety check.. During today's visit LPA conducted interviews, reviewed records and medications. RECORDS: A review of facility files was initiated. Facility records are stored in the locked office upstairs. The LPA observed documentation of Infection Control, Disaster prevention and last Disaster drill (conducted on 02/03/2025). The LPA obtained Client Roster, Staff Roster and Insurance liability. The LPA reviewed five(5) out of five (5) resident files and four (4) out of four (4) staff files. All records were complete with pre-admission appraisals, needs and services plans, physician reports, admission agreements, and emergency contact information. All records were complete and current for both residents and staff. MEDICATIONS : Medications review was initiated; medications are centrally stored and locked in a closet in a hallway; medications are labeled and checked for expiration dates. Medications are properly documented on the centrally stored medications and destruction record. INTERVIEWS: LPA interviewed two residents and two staff; no concerns were voiced No deficiencies were observed. Exit interview conducted. A copy of the report was issued.