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25 | Licensing Program Analyst (LPA) Joseph Alejandre made an unannounced visit to conduct the required annual inspection (mitigation). LPA was greeted and granted entry by Administrator Mary Yepes. LPA explained the reason for the visit. Administrator's certificate expires on 12/29/2023. LPA and Administrator toured the facility. Facility has 4 bedrooms, 2 bathrooms, dining room, living room, kitchen, family room with a screened fireplace and a 2 car garage. Smoke Detectors and Carbon Monoxide detectors tested operational. First Aid kit has all the required elements. LPA observed a 20 X 26 inch PUB 475 poster (See Something, Say Something poster) in the entrance way of the facility. LPA observed all medication are kept locked in a kitchen cabinet. LPA observed knives and cleaning supplies are kept locked under the kitchen sink. LPA observed a 2 day perishable and 7 day non-perishable food supply on hand in the kitchen. Hot water measured 109.9 degrees Fahrenheit in bathroom one and 106.0 degrees Fahrenheit in bathroom two. Both bathrooms are clean and operational. LPA observed all resident bedrooms had the required furnishings. LPA and Administrator toured the garage. The garage is kept locked and used for storage. The backyard has a covered patio with a table and chairs for residents to sit outside. The exit gates on each side of the house are operational. There is a small gazebo and a small fountain that has no water in it. Administrator reported that the backyard is being landscaped and there will be additional sprinklers and more drought tolerant plants. Administrator reported that at this time residents are not allowed to use the backyard until all of the work is completed. Administrator reported that residents who want to go outside are taken to the front porch where there is a covered sitting area. Administrator reported that residents are always with a caregiver when outside. Facility has a mitigation plan that is pending review. No deficiencies observed during the visit. No deficiencies are being cited as a result of this visit. An exit interview was conducted and a copy of the report provided. |