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25 | This is an amended report.
On 12/20/24 at 2:23pm, Licensing Program Analyst (LPA) Arvin Villanueva conducted an unannounced annual required visit, with the use of the CARE Inspection Tool. LPA met with facility administrator, Angelita Dayoan, and stated the purpose of this visit. Present during this visit were 6 residents in care with 2 staff on duty.
The facility is a one-story home located in a residential neighborhood. The facility is currently licensed to serve 6 non-ambulatory elderly residents, of which 1 may be bedridden. The facility is approved for 4 hospice residents. During this visit, LPA observed 2 residents doing tabletop activities with staff; one resident was watching TV in the livingroom; and other residents were in their bedrooms.
Outdoor areas were observed to be clean and clear of hazards at this time. No bodies of water was observed at this time. Fence and gates were observed. The fence located at the garage side of the facility was observed to be in disrepair. Per administrator, they are in the process to have it repair. Date of repair is pending at this time. LPA observed outdoor furniture and outdoor activity area was observed to be spacious for resident use. Storage shed was observed to be locked and not accessible to residents. No bodies of water was observed.
LPA observed the interior to be free of odor, clean and in good repair at this time. LPA observed 6 of 6 resident bedrooms to be equipped with the required furniture and sufficient lighting throughout the facility. LPA inspected 3 of 3 bathrooms and were observed to be equipped with slip resistant flooring and overall in good repair at this time. Hot water temperature in 2 of 3 resident bathrooms were measured at 110 degrees F. Room temperature was observed at 72 degrees F. The kitchen was observed to be clean and sanitized. Freezer and refrigerator in the kitchen area was observed to be clean and large enough for food storage. LPA observed freezer temperature to be 5 degrees F. Technical Advisory was provided to administrator to maintain the freezer temperature at or below 0 degrees. LPA observed sufficient seven day non-perishable and two day perishable food supplies. Regulatory-required posters were observed.
Facility maintains 3 fire extinguishers at this facility. Smoke and carbon monoxide detectors were observed, tested and found operable at this time. LPA observed medications to be centrally stored and inaccessible to residents. LPA observed poisonous substances, sharp objects and other dangerous items were kept locked and inaccessible to residents in care. Facility is not equipped with fireplace.
This visit requires continuation. The Department will return at a later date to continue the annual inspection. Exit interview was conducted a copy o this report was provided. |