LPA and administrator toured the inside and outside grounds of the facility. In the backyard, LPA observed a covered patio with table and chairs. All walkways and ramps have secured handrails. On the back of the property is an additional patio with a picnic table and two (2) sheds used for storage. In Two (2) shed is an ample supply of incontinence product for clients, and in the second is an additional supply of cleaning supplies, sanitizer, and toiletries. Continued on LIC809C

LPA toured all bedrooms and found they contained the required furniture including bed, dresser, nightstand with lamp, a chair and ample storage space for resident’s belongings. All bedrooms are private. Residents have the option to supply personal furniture or use the furniture available by the facility. LPA observed two beds have half rails, LPA reviewed the exemption from Community Care Licensing and doctor’s orders. All rooms have ample lighting.

LPA observed all linens to be clean and in good repair. All beds had the required linens including mattress cover, fitted sheets, blankets, comforter and pillows. LPA observed an ample supply of linens and towels in the cupboards in the hallway and additional supply in the resident’s room. Some residents have chosen to purchase personal bed linens. Resident’s hygiene products are stored in a cabinet in the bathroom. Additional supply was observed in a storage shed in the backyard. LPA inspected both bathrooms and found them to be clean and sanitary. Both bathrooms have working wash basins, toilets, showers, and ample lighting. LPA observed both bathrooms to have secured safety handrails, nonskid mats, and shower chairs. LPA observed an ample supply of hand soap and paper towels. The water temperature measured between within Title 22 regulations. Continued on LIC809C

LPA observed the First Aid kit to be fully stocked with required items and a manual. All exits are clearly marked, and all rooms have a facility sketch posted on the walls, with exit routes and shut off valves marked. All required licensing posting were observed. There are no security bars on the premises. There are no firearms or ammunition stored on the premises. The last emergency drill was conducted on 03/26/2024, due to illness among the staff and in the facility. The smoke and carbon monoxide detectors and sprinkler system are fully operable and last serviced on Sep. 3, 2021 (five year test).

Continued on LIC809C

Centrally stored medications were observed stored in their originally received containers and kept secured in a locked cabinet next to the office area and are inaccessible to residents in care. LPA reviewed all medications for residents and matched them to the MARs.

LPA reviewed all resident files and found they contained the required documents. LPA reviewed six (6) staff files and found they contained the required documents, training, and certifications. LPA reviewed the facilities staff training log.LPA reviewed the residents P and I. LPA reviewed the facilities Surety Bond. LPA interviewed the Administrator, Direct Support Staff, and one (1) client who was present at the facility.

No deficiencies were cited during this visit.

An exit interview was conducted, and a copy of this report was provided to Administrator, Adriana Galeano.