Hidden Meadows Residential Home Care

Type of visit: Required - 1 Year

On 3/24/26, Licensing Program Analyst (LPA) Kyle Wellington made an unannounced visit to the facility to conduct an annual inspection. LPA was greeted at the door by the Administrator (Admin), Monina Arjona, who was informed of the purpose of the visit. LPA observed three (3) staff and six (6) residents present at the facility. The census at the facility is six (6) residents. LPA was informed that one (1) resident is currently receiving hospice services at the facility. LPA received a resident roster from the Admin. LPA toured the inside and outside of the facility with the Admin. LPA conducted an observation, interviews and record reviews at the facility for the inspection. Facility Overview: The facility is a one story house with five (5) resident bedrooms, one (1) staff bedroom, three (3) bathrooms, kitchen, family room, dining room, laundry room and attached garage. There are no pools, bodies of water or firearms at the facility. The facility has a fire clearance to serve six (6) non ambulatory residents. The facility has an approved hospice waiver for one (1) resident. Infection Control: LPA observed soap dispensers in the bathrooms and hand sanitizers in the facility. Cleaning supplies were locked in the laundry room and available for regular facility maintenance. LPA reviewed the facility’s infection control plan which met the department’s requirements. Physical Plant: LPA observed the inside and outside of the facility to be clean, safe and well kept. The floors, windows and doors were clean and well maintained. The family room and dining room furniture was in good repair. The halls had night lights and were free of obstruction. The residents’ bedrooms were neat, organized and had the required bedding, furniture and lighting. Bathrooms were clean, sanitary and contained paper towels, grab bars and non-slip tile in the showers. The hot water temperature in the bathroom was measured at 107.2 F. Clean linens and towels were available in cabinets in the hall. Laundry equipment appeared to be in good working condition. The two (2) fire extinguishers were charged and available for use. Facility had smoke and carbon monoxide detectors and LPA found them to be battery operated and operational. Facility had a pull system fire alarm connected to emergency lights at three (3) exits. The backyard was clean, free of hazards and contained outdoor furniture and shaded area for the residents. Kitchen/Food Service: LPA observed the kitchen to be clean, organized, and well maintained. The kitchen had the ability to prepare and store food in a safe and clean environment. Kitchen equipment appeared to be in good working condition. Dishes, containers, pot/pans and silverware appeared clean and in good condition. All sharp and dangerous objects were kept in a locked cabinet under the sink inaccessible to residents. Cleaning supplies were kept in a locked cabinet under the sink inaccessible to residents. The refrigerator/freezer was clean, stocked and at the required temperatures. Food in the refrigerator/freezer and pantry/cabinets/garage were properly stores and not expired. The facility has at least a two day supply of perishable foods and a seven day supply of non perishable foods. The hot water temperature in the kitchen was measured at 105.8 F. Care & Supervision: LPA observed the facility had sufficient staff present to supervise the residents. Administration: LPA observed that facility sketch, emergency phone numbers, Long Term Care Ombudsman contact information, residents' personal rights information and complaint procedures were posted in the hall. Liability insurance was up to date and expires on 6/22/26. Admin holds a current Administrator Certificate and a current CPR Certification. Admin has a criminal record clearance. Record Review and Resident/Staff Files: LPA compared the staff present at the facility and on the staff roster to the Guardian staff roster for criminal record clearance. LPA reviewed the records of two (2) staff files and three (3) residents’ files. The files contained all the required documentation and paperwork. The staff and residents’ files were kept in a locked cabinet near the dining room inaccessible to unauthorized individuals. Health Related Services/Incidental Medical Services: LPA observed all residents’ medications were locked in a cabinet near the dining room inaccessible to residents. No medication was stored in a refrigerator with food items. LPA reviewed three (3) resident’s medication to the facility’s medication log to make sure all medication was accounted for and dispensed correctly. First Aid kit contained all the required items and was kept in a hall and on a desk near the dining room. Disaster Preparedness: LPA reviewed the facility’s emergency and disaster plan. The plan was current and up to date. Safety and fire drills have been conducted with the last drill occurring on 3/8/26. LPA observed all facility exits were clear of obstructions and had the required signage. No deficiencies were cited during this visit. Exit interview was conducted with the Administrator and a copy of this report was given to the Administrator.the state’s words, verbatim · CDSS document, Mar 24, 2026

Type of visit: Required - 1 Year

On 3/27/2025, Licensing Program Analyst (LPA) Janette Romero made an unannounced visit to the facility to conduct a required annual inspection. LPA met with Licensee, Monina Arjona who was informed of the purpose of the visit. The facility has a fire clearance to serve six (6) non-ambulatory elderly residents. The facility also has an approved hospice waiver for one (1) and LPA was informed only one (1) resident is currently receiving hospice services at the facility. During today's visit, there was two (2) staff and six (6) residents present. LPA toured the facility with Licensee and observed the facility is made up of a one-story home with five (5) resident bedrooms, three (3) bathrooms, a staff room, kitchen, dining area, living room, laundry room, and attached garage. Resident bedrooms had the required bedding, furniture, and lighting. Bathrooms had grab bars and non-skid mats in the showers. No bodies of water were observed on the premises. Indoor and outdoor pathways were free of obstruction. The facility met Departmental requirements for a two-day supply of perishable foods and seven-day supply of non-perishable foods. Medications are secured in a locked cabinet near the dining area. Laundry detergents, cleaning solutions and disinfectants are secured in the locked laundry room. LPA toured the garage and observed an additional incontinent supplies and food and water. Licensee tested one (1) of the smoke alarms/carbon monoxide detectors and LPA observed it to be operational. LPA also observed a charged fire extinguisher mounted near the medication cabinet. The facility's certificate of liability insurance expires on 6/22/2025. Staff present have a criminal record clearance and are associated with the facility. Resident files reviewed had physician's reports and signed admission agreements. LPA reviewed the facility's Care Training Log noting the facility's last fire drill was conducted on 1/25/2025. Long Term Care Ombudsman's contact information, residents' personal rights, complaint procedures and facility sketch are posted on the hallway wall leading to the resident bedrooms. During today's visit, LPA did not observe any issues or concerns. An exit interview was conducted and a copy of this report was reviewed and provided to Licensee.the state’s words, verbatim · CDSS document, Mar 27, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Jacqueline Shaw Ross conducted an unannounced annual visit. LPA met with the Administrator, Monina Arjona and explained the purpose of today’s visit. A tour of the facility was conducted inside and out. The facility is a (6) bedroom, (3) bathroom one story home. Tour included: Physical Plant: The tour of the front entrance, interior and exterior surroundings was observed to be in good repair with no pathway obstruction and facility's water temperature measured above 120 degrees however hot water was adjusted accordingly. LPA observed a warning sign for hot water was posted in each bathroom. LPA inspected each residents room and observed them to be clean, odor free, and furniture in good condition. The inspection also revealed sufficient lighting, bedding and mattress pads in residents’ bedrooms. All furniture throughout the facility was in good condition. Smoke and carbon monoxide detectors were also inspected and found to be in working order. All cleaning solutions were observed in a locked secure area. Facility does not house firearms and/or ammunition on grounds. Food Services: 7 day non-perishable and 2 day of perishable food supply was observed, and all food was properly stored and available to residents. Items reviewed/discussed: Staff present have a criminal record clearance in file and are associated to the facility. LPA conducted interviews with staff and residents. Last emergency drill was conducted on 12/1/2023. Facility, staff and residents' records were reviewed and all required documents were present and up to date. All required postings were posted throughout the facility. LPA observed the medications and medications are dispensed according to physicians instructions, however the following deficiencies were observed: -The facility's record keeping system of medication dosages given to residents was not up to date from January 1, 2024 to present. Deficiency cited. -The facility's record keeping system of PRN medication dosages given to residents was not up to date from January 1, 2024 to present. Deficiency cited. An exit interview was conducted with Administrator Arjona Monina and a copy of this report, LIC 809D, LIC 811 and appeal rights were discussed and provided.the state’s words, verbatim · CDSS document, Mar 12, 2024