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25 | On 12/27/2023 at 3:05pm, Licensing Program Analyst (LPA) Arvin Villanueva arrived at this facility unannounced to conduct an annual required visit. LPA met with the facility administrator, Aurora Maigue, and assistant administrator, Grant Depositar, and explained the purpose of today’s visit. The facility is currently licensed to serve 6 non-ambulatory elderly residents. The facility is approved for 4 hospice residents and currently cleared for 1 bedridden. Currently, the facility has no hospice residents in care and no oxygen being used. Present during this visit were 6 residents in care with 2 staff on duty.
At 3:16pm LPA and the assistant administrator, Grant Depositar, inspected the facility’s physical plant with the administrator including but not limited to the kitchen, dining room, resident bedrooms, resident bathrooms, laundry room, living area, common TV area, and outside of the facility to ensure compliance with Title 22 regulations. The facility is a one-story structure located in a residential neighborhood. There were no bodies of water on the premises. The fireplace in the livingroom is observed to be screened. Outside of the facility was observed to be cleaned and clear of obstructions. Additionally, LPA observed outdoor furniture for residents’ use and covered area for outdoor activities. Entrance, exits and hallways were observed to be clear of obstructions. LPA observed 6 private resident bedrooms with exit to the outside and 3 bathrooms for resident use. Bathrooms were operational and adequately supplied including with grab bars and non-skid flooring. LPA observed beds and bedding supplies were in good condition, adequate lighting was provided, and sufficient storage for the resident's personal belongings. Bed linens, comforters, and bath towels were adequately stocked during the visit.
LPA observed the facility to be furnished at the time of the visit. Storage areas for personal hygiene, cleaning supplies, toxins, and sharps objects were locked and not accessible to residents in care. The kitchen was inspected, and sufficient 2-day perishable and 7-day non-perishable food was maintained adequately. Room temperature was maintained in the facility at 73 degrees F. Water temperature in one of the bathroom was measured at 110 degrees F. The fire extinguisher was last serviced on 1/19/2023. Smoke detector/carbon monoxide combination were tested and found to be operable during this visit. Each resident bedroom was observed to have a smoke detector/carbon monoxide installed.
Due to insufficient time, this annual will require a continuation visit. The Department will return at a later date to complete the annual inspection. LPA requested copy of the following documents: liability insurance, updated LIC 500 and updated LIC 308. An exit interview was held with Aurora Maigue and Grant Depositar, and a copy of this report was provided to the facility.
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