The facility is a one-story home with four client bedrooms, one bathroom, kitchen, dining room, living room, staff office, staff room/bathroom, laundry area, backyard, front yard and detached garage. LPA noted clients were away at day program at the time of the inspection. Facility appears clean and sanitary. All residents rooms had the required elements, including bed, chair, closet space and ample lighting. Restroom is stocked with soap and paper towels and has hand washing postings. Hot water measured at 118.2 degrees Fahrenheit in the bathroom. LPA observed facility has emergency food and water supply. Facility has linens stored in closets throughout the facility. The facility is stocked with a 7-day non-perishable food supply and a 2-day perishable food supply. Knives are locked in a drawer in the kitchen. Toxins and chemicals are locked in a closet in the laundry area. Staff and Client files, P&I, Medication and First Aid Kit are kept locked in cabinets and/or a lockbox in the Staff Office. LPA reviewed staff and client files. LPA reviewed P&I. P&I was noted to be accurate. LPA noted four staff members have First Aid/CPR cards issued by the American Safety & Health Institute. The front and back of each card was scanned and printed on a page that is placed in each staff members section of the personnel file. LPA called the phone number on the card and spoke with the trainer Mike Pasigan. Pasigan verified they are a trainer with the aforementioned Institute. Pasigan was not at his computer to verify the validity of the cards, but Pasigan stated he recalled conducting classes for Duelas Home. LPA reviewed medication and found errors in medication documentation. LPA noted missing signatures on medication for each resident. A deficiency is being issued on this day. LPA confirmed that the staff member responsible for documentation has been trained on medication administration but has not had their performance reviewed. A deficiency is being issued on this day. The backyard has two shaded seating/lounging areas. Exit gates are unlocked and self latching. LPA observed exit gates to be

Based on today’s inspection, two deficiencies are being issued. An exit interview was conducted and a copy of this report, deficiency page, technical assistance, technical violation and appeal rights were provided to the facility.