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25 | Licensing Program Analysts (LPAs) Alviso and Contreras arrived unannounced to conduct a Required -1 Year inspection, on 2/18/25 at approximately 2:55pm, and met with caregivers Dina Camilon and Estelita Cabardo. Staff contacted Administrator Eden Relota, and notified them the LPAs were at the facility. The Administrator arrived to meet with the LPAs.
Facility has an approved dementia plan of operation. There is an approved hospice waiver for two (2) residents. The facility has a required infection control plan. The facility has a required emergency and disaster plan. Per file review, last fire drill was completed on 12/5/23. Licensee is completing fire/evacuation/emergency drills quarterly as required.
Fire clearance is approved for four (4) non-ambulatory, of which one(1) may be bedridden. There were four (4) residents in care at the facility. Two (2) fire extinguishers were serviced and tagged as required. All exits were clear and free of obstructions. All exits had auditory alarms on the doors; All alarms were working properly during the inspection. Facility has a carbon monoxide detector that was working properly during the inspection.
LPA reviewed four (4) resident files, including medication storage and medication records.
LPAs toured the facility. Hot water was checked at 107. degrees Fahrenheit. All smoke alarms were in place and working properly. Sufficient food supply. All medications were locked up and inaccessible to residents in care. All disinfectants/cleaners were locked up and inaccessible to residents in care.
LPAs will return at a later date to continue the annual inspection. |