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25 | 1/26/2022 Licensing Program Analyst (LPA) Nina Galarza conducted an unannounced required 1 year visit. LPA met with staff Zenaida Uy and stated the purpose of the visit. LPA later met with Administrator, Elna Villaflor and stated the purpose of the visit. LPA conducted annual using the Infection Control Domain. LPA was screened upon entry.
The facility is licensed to serve 6 non-ambulatory residents aged 60 and above. Hospice waiver for 1. The facility is a one story residential home with 5 bedrooms, 2 full bathrooms, living room, dining room, kitchen, laundry room, garage, front and back yards.
LPA inspected the physical plant and reviewed resident records. LPA observed facility stayed within capacity limitations. All persons associated with the license have a criminal record clearance. Hot water temperature was tested and was measured at 110 ºF. Lamps/lights for each room were available in the rooms for safety and comfort. Centrally stored medicines are kept locked in the kitchen cabinet. One week nonperishable foods and 2 days perishable foods were viewed. Carbon Monoxide and smoke detectors were tested and were operational. Fire extinguisher was fully charged. Toxic, knives, cleaning and laundry solutions were inaccessible to residents. Each bedroom is equipped with the proper furniture and linen. Bathrooms had non-skid mats and grab bars. Passageways are clean and free of debris. No weapons, ammunition or bodies of water on premises. All exit doors have auditory alarms. Facility does not handle resident cash resources. LPA observed COVID19 informational and symptom posters by front door and throughout facility. There is hand sanitizer available throughout facility.
No Deficiencies observed. Exit interview held, a copy of this report and appeal rights provided. |