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25 | Licensing Program Analyst (LPA) Joseph Alejandre made an unannounced visit to conduct the required annual inspection (mitigation). LPA was greeted and granted entry by staff. LPA explained the reason for the visit. LPA met with Administrator Rochel Malaca. Facility is a single story building with 25 resident rooms. There is a central courtyard that is open. The fire alarm/sprinkler system was inspected on 1/14/22, no deficiencies noted on the report. LPA and Administrator toured the facility. LPA and Administrator toured the resident rooms. The hot water measured between 110.0 degrees Fahrenheit to 123.0 degrees Fahrenheit (room 124). LPA observed the resident rooms were clean and organized. LPA observed an oxygen machine in room 117. There was no oxygen sign on the door to the room. The rooms can accommodate 2 residents but at this time each resident has their own room. LPA and Administrator toured the kitchen and dining room. The kitchen is clean and organized. LPA observed a 2 day perishable and 7 day non-perishable food supply on hand. LPA and Administrator toured the medication room. LPA observed all medication is kept locked in medication carts that only qualified staff have access to. LPA and Administrator toured the outside of the facility. LPA observed a small water fountain outside that is 3 feet tall in the seating area. The water fountain is operational. LPA observed no obstacles or hazards outside. Facility Mitigation plan was approved on 5/10/21. No files were reviewed during this visit. No deficiencies cited as a result of this visit. An exit interview was conducted and a copy of the report provided. |