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25 | On 03/13/25, Licensing Program Analyst (LPA) Villegas conducted an unannounced annual required visit using the CARE Inspection Tool. LPA met with Director Mary Montiano as the purpose of the visit was explained. The facility is licensed to serve 68 adults ages 18-59 of which 50 may be non-ambulatory. Facility has an approved hospice care waiver for 5 clients. Facility fees are current. Surety bond (#64955140) active.
The facility is located in a residential area and consist of two buildings in one lot. Building #1 consist of 22 non-ambulatory client bedrooms, 4 restrooms, a detached laundry room, a dining-room, kitchen, activity room, pantry, linen closet, medication room, 1 staff office and a designated outdoor smoking area located at the entry of the property. Building #2 is a two-story structure that consist of 15 ambulatory bedrooms, 3 restrooms, a staff lounge, and 1 business office. Facility has a signal system in both buildings. Client rooms 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. The water temperature measured between 105- and 120 degrees F. A supply of perishable and non-perishable food was observed, and toxins and knifes were stored and inaccessible to clients. Internet service and a lindline were observed. There are no weapons nor bodies of water on the premises, exits and walkways are free of debris/hazards.
LPA conducted a records review of 4 staff records, 5 client records, 5 medication administration records, and 5 P&I ledgers, no discrepancies observed. Medications were centrally stored and properly locked, first aid kit was checked and fully stocked. The last fire was conducted on 01/01/25, fire extinguisher fully charged, carbon monoxide and smoke detectors are operational and were checked on 11/02/24 by Earl security company.
Exit interview conducted, and a copy of this report was provided.
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