Routine inspection·February 21, 2024

Licensing Program Analyst (LPA) Teresa Camara arrived at the facility unannounced to conduct a required annual visit at 11:34 a.m. LPA was greeted by staff, and staff contacted the Administrator via telephone to inform them of the visit. LPA met with Administrator Roberto De La Vega Ramirez and discussed the reason for the visit. LPA toured the physical plant areas inside and outside to ensure there are no health and safety hazards and the facility is in compliance with Title 22 Regulations. Carbon monoxide and smoke alarms were tested and functioned properly. The fire extinguisher appeared fully charged and was purchased 2/13/2024. Hot water temperature was within regulatory requirements (105*F-120*F); it was measured at 110.9*F. BEDROOMS: The resident bedrooms were furnished appropriately with clean linens, appropriate furnishings and sufficient lighting. Currently there are six residents in the facility. Two bedrooms are share bedrooms, and two are single occupancy. There is also a staff room. RESTROOMS: Restrooms were observed to be clean and sanitary and in operating condition with grab bars and non-skid surfaces. The LPA observed sufficient amounts of soap in each restroom. COMMON SPACES: In the common areas, walls and flooring were checked for cleanliness and good condition. At the time of the visit, common seating area and dining room furniture was observed to be in good condition. The LPA observed the required postings in the common hallway. The backyard has a covered outdoor area equipped with furniture for resident use. There were no bodies of water noted. Laundry room was locked and contained storage cabinets for laundry supplies. The garage was observed locked. The emergency food supply was located in the kitchen cabinet. (continued on 809-C) (continued from 809) KITCHEN: Kitchen appliances were in operable condition. The facility has a sufficient supply of perishable and non-perishable food. All knives and cleaning supplies were observed to be locked and properly stored at the time of the visit. Medications were locked in a cabinet. INFECTION CONTROL: LPA spoke with the Administrator regarding the facility’s infection control practices. LPA observed an adequate supply of Personal Protective Equipment (PPE) and the facility is able to obtain additional supplies as needed. The facility’s cleaning protocol is sufficient. The facility’s policies and procedures as it pertains to infection control are adequate. INTERVIEWS: LPA interviewed two residents and two staff; no concerns noted. RECORDS: LPA reviewed medications; they appear to be given as prescribed and documentation was complete. LPA reviewed files for residents which appeared complete. LPA reviewed staff files. All staff are fingerprint cleared and associated to this facility. All staff have appropriate training. Disaster drills are conducted quarterly with all facility staff. Exit interview was conducted. Report was reviewed with Administrator. Copy of the report was issued