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25 | On 02/16/24, Licensing Program Analysts (LPA) Lizeth Villegas conducted an unannounced annual required visit using the CARE Inspection Tool. LPA met with Administrator Michelle Ann Porca to explain the purpose of today’s visit. The facility is licensed to operate for 6 non-ambulatory clients of which 1 may be bedridden ages 60 and over and has an approved hospice waiver for 6 clients. Bedridden clients shall be in rooms #2 and #4. Current facility census is 6.
The facility is a single story home located in a residential neighborhood that consist of the following:7 bedroom 1 of which belongs to staff, 2 common restrooms, 2 private restrooms, a detached garage for laundry service, dining area, kitchen, pantry, linen closet, 1 staff office and a designated outdoor shaded area. Facility has a signal system in all bedrooms and restrooms, the water temperature measured between 105- and 120 degrees F. Client bedrooms were inspected, beds and bedding supplies were in good condition, adequate lighting was provided, and storage for the client's personal belongings was observed. Bed linens, comforters, and bath towels were adequately stocked during the visit. Bathrooms were found to be within Title 22 regulations and were clean and operational. The kitchen was inspected, and sufficient perishable and non-perishable food was maintained adequately, toxins and knifes were stored and inaccessible to clients.
LPA conducted a records review of 2 staff records, 2 client records, and 2 medication administration records, no discrepancies observed. Medications were centrally stored and properly locked, first aid kit was checked and fully stocked. The last fire was conducted on 12/01/23, fire extinguishers observed to be fully charged, carbon monoxide and smoke detectors are interconnected and operational. There are no bodies of water, no firearms or obstructions on the premises. The facility has a working landline.
Exit interview conducted with Administrator Michelle Ann Porca, and a copy of this report was provided.
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