Facility is licensed to serve six (6) residents age 60 and above. It is cleared for four (4) bedridden and two (2) non-ambulatory. Facility may accept or retain four (4) residents on hospice. The facility currently has five residents.

The facility is a two story structure located in a residential neighborhood. It consists of the following: five (5) resident bedrooms and four (4) bathrooms, one (1) staff bedroom, a living area, dining area, kitchen, family room, and outside patio area on the first floor; two (2) bedrooms and one (1) bathroom on the second floor.

Staff accompanied LPA on the first floor and outside the facility during this inspection. Outside grounds were toured and no bodies of water were observed. Walkways around the home were clear of hazards.

Resident bedrooms had the required furniture, bed linens and closet/drawer space to accommodate each resident comfortably. There are no security bars or weapons on the premises.

Resident bathrooms were checked. Toilets and water faucets worked properly, grab bars were secure, shower was free of mold/mildew and a non-skid mat was in place, hot water temperature properly measured between 120F. Resident bath towels, toiletries and personal hygiene supplies were adequately stocked.

Common areas were clean and clear of hazards, doorways were free of obstructions.

Continue to LIC809-C

5 staff records were reviewed.

5 resident records were reviewed and, 4 out of 5 client records had medical assessments. Two residents’ medication was reviewed.

Deficiencies were observed but due to time constraints an annual continuation is required. An exit interview was conducted and a copy of this report was discussed and left with Christian Espino.