Physical Plant: The facility is operating within capacity and not beyond the conditions of the license. There are no pools or other bodies of water located on the premises. The facility is being maintained at a comfortable temperature for residents for common areas. All passageways are kept free of obstruction. Hot water temperature was measured in all bedrooms and measured between 105 and 114 degrees Fahrenheit. Grab bars, textured shower floor, and shower aid equipment are utilized by residents. The facility has signal devices for exterior doors. Fire safety installations such as extinguishers, sprinklers, and alarms are present. Fire extinguishers were observed to be charged and last inspected on 06/01/2023. A working interconnected smoke detector system in each bedroom was tested by Administrator. Administrator also tested combination carbon monoxide and smoke detectors in both bedroom hallways. Overall the facility is in good condition; it is clean, sanitary and free of foul odors.

Kitchen and Food Service: The total daily diet provided to residents appears to be of the quality and in the quantity necessary to meet resident needs. There is a minimum of one week supply of nonperishable foods and two days of perishable food items, which meets regulatory requirements. All readily perishable food or beverages capable of micro-organism growth are being stored in covered containers at appropriate temperatures. Sharps and cleaning agents are kept secured in the kitchen.

Medication, Care, and Supervision: The facility has sufficient and competent staff to provide services needed to meet resident needs. Chemicals and items which can constitute a danger are stored inaccessible to residents. LPA inspected medications and found medications in their original containers. Medications appear to be dispensed according to the physician's orders. LPA did not find a PRN/as needed medication record for residents unable to determine their need for the medication. This poses a potential health and safety risk to residents in care.

Operations and Administration: Disaster Plan is present and Administrator Jerez will be updating the plan as needed. Administrator is present in the facility a sufficient amount of hours and their administrator certification is up to date. The required licensing and ombudsman posters are posted and in public view. Residents rights are posted and a copy is kept the resident's file.

Refer to LIC809D for deficiencies were cited during this visit. Technical advisories and violations were issued in relation to deficiencies observed. An exit interview was conducted where this report, LIC 809D, and appeal rights were discussed and provided to Administrator.