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25 | Licensing Program Analyst (LPA) Jessica Cho arrived at the facility unannounced for the purpose of conducting the required 1-Year annual using the CARE Inspection Tool. LPA met with Administrator Juan Reyes and stated the purpose of the visit.
There are five resident bedrooms and four resident bathrooms and with one staff bedroom. The laundry room was located in the attached two-car garage. LPA observed the facility to be clean and sanitary. All rooms were inspected and appropriately furnished. Beds and bedding supplies were in good condition, adequate lighting was provided, sufficient storage space for each residents' personal belongings were observed. Bathrooms were found to be in compliance, clean, and operational. The water temperature measured at 110.8, 111.0, 110.6, and 111.0 degrees Fahrenheit. Toxins, disinfectants, sharps, and medications were secured and inaccessible. LPA observed sufficient two-day supply of perishables and seven-day supply of non-perishable food available. LPA toured the exterior of the facility. LPA observed the outdoor passageway free of obstructions. The two exit gates were self-closing and self-latching. LPA observed sufficient seating and shading. The fire extinguisher was mounted, charged, and serviced on December 1, 2023. The auditory devices and smoke/carbon monoxide detectors were tested and operational. LPA observed the emergency disaster supplies including food/water in the garage. Emergency evacuation drills are being conducted quarterly. LPA observed the required 'See Something, Say Something' (PUB475) poster in the correct size.
LPA conducted an audit of five residents' files and two personnel files. No discrepancies were noted. Staff and resident interviews were conducted. Medications were audited for five residents. No discrepancies noted.
Based on the observations made during today's visit, no deficiency is being cited today. An exit interview was conducted with Caregiver Iris Bernal, and a copy of this report was provided at the end of the visit.
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