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25 | Licensing Program Analyst (LPA) Joseph Alejandre made an unannounced visit to conduct the required annual inspection (mitigation). LPA was screened for symptoms of Covid-19 and granted entry. LPA observed a no smoking oxygen in use sign on the front door next to the Covid-19 visiting guidelines. LPA observed a sign in/hand sanitizing station next to the front entrance. LPA met with Administrator Arlene Fajardo. LPA explained the reason for the visit. Arlene Fajardo's Administrator's certificate expires on 6/18/2023. LPA observed the see something say something poster (PUB 475) in the entrance of the facility next to the Covid-19 postings. LPA and Administrator toured the facility. The facility is a single story home with 5 bedrooms, 2 bathrooms, living room with a fireplace and TV, eat in kitchen that has a dining table, family room with a TV and a 2 car attached garage. One bedrooms is for staff. Two of the resident rooms are shared and 2 are private. LPA observed the fireplace in the living room is not screened. Administrator reported that the fireplace is not being used. Both bathrooms were clean and operational. Hot water temperature measured 112.0 degrees Fahrenheit in bathroom 2 and 120.0 degrees Fahrenheit in bathroom 1. LPA observed all of the resident bedrooms had enough space to accommodate each resident and had the required furnishings. All smoke detectors tested operational. The carbon monoxide detector tested operational. LPA observed a 2 day supply of perishable food and a 7 day supply of nonperishable food in the kitchen. The kitchen is clean and organized. The stove lights unassisted. The door leading to the garage is kept locked. The garage is used for storage and is off limits to the residents. LPA observed that Knives, medications and cleaning supplies are all kept secured in the garage. LPA and the Administrator toured the backyard of the facility. No bodies of water observed. There is a covered patio with a sitting area. The metal shed is used for storage and does not contain any hazardous supplies. The exit gate is latched and operational. No obstacles or hazards observed in the backyard. No records or files reviewed during the visit. The facility mitigation plan was approved on 3/10/21. No deficiencies are being cited as a result of this visit. An exit interview was conducted and a copy of the report provided. |