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25 | Licensing program Analyst (LPA) Kimberly Lyman conducted an unannounced visit to conduct the annual required visit. LPA was greeted and granted entry into the facility by and explained the reason for the visit. Facility is licensed for 6 non-ambulatory clients with hospice waiver for 1. The facility currently has 3 clients with no clients on hospice. Michael Rillera has an Administrator Certificate expiring on 01/30/2026. Administrator Armando Flores arrived during the visit. The facility appears clean and sanitary.
LPA Lyman along with Licensee Michael Rillera toured the facility at 7:45 AM. LPA toured the physical plant, checked food service, and reviewed facility documentation. The home consists of four client bedrooms, two shared hall bathrooms, client restroom, one staff room, living room, dining room, and kitchen. Client bedrooms had the required furniture, bed linens and closet/drawer space to accommodate each resident comfortably. Client bathrooms were checked. Toilets and water faucets worked properly, and shower was free of mold/mildew. Water temperature measured between 109.2 and 116.1 degrees F in facility bathrooms. Client bath towels, toiletries and personal hygiene supplies were adequately stocked at time of visit. Common areas were clean and clear of hazards, doorways were free of obstructions. First aid kit had all the required elements including thermometer and scissors as well as a first aid manual. Kitchen was inspected. Perishable and non-perishable food supply was checked and adequately stocked at time of visit. smoke detectors and carbon Monoxide detectors are hardwired and tested operational during today's visit. Fire extinguishers are fully charged. Kitchen appliances are operational during today's visit. LPA toured the outside grounds and there is ample shaded seating for clients. Exit gate is unlocked and operational. LPA observed ample emergency food and water supply. LPA reviewed the emergency disaster plan as well as infection control plan during the visit. Plans are thorough and complete. Facility provided documentation of last fire drill conducted on 04/09/2024 and drills are conducted quarterly. Facility provides activities in the form of games, exercise and outings in the community. At 9:00 AM, LPA reviewed three client files and two staff files. Client files contained required documents including admission agreements, physician reports and client appraisals. Staff files reviewed contained required documentation of training and criminal record clearance. |