Ayres Residential Care Home

Type of visit: Required - 1 Year

On 08/27/25, Licensing Program Analyst (LPA)Villegas conducted an unannounced annual required visit with a primary focus on Infection Control measures using the new CARE Inspection Tool. LPA met with Administrator Michael Gabai and explained the purpose of today’s visit. The facility is licensed to operate for (6) residents of which s(6) non-ambulatory elderly residents ages 60 and above. The facility is approved for (3) hospice. Todays census is 6, facility fees are current. Liability insurance is active. The facility is a single-story structure located in a residential neighborhood. It consists of the following: (6) resident's rooms with all having their individual bathroom, 1 office room with a guest bathroom, living area, dining area, kitchen, laundry area room in hallway and outside shaded patio area. All resident rooms were checked. Beds and bedding were in good condition, adequate lighting provided, storage fort personal belongings was observed. Walls and floors were in good repair. Bed linens and comforters were in good condition at the time of the inspection. Bathrooms were found to be within Title 22 regulations and were clean and operational. The water temperature measured between 105 F. to 120 F. Cleaning agents, toxins, and sharps were inaccessible to residents. The kitchen was inspected and there is enough perishable and non-perishable food available which is stored properly. Smoke detectors and carbon Monoxide were operable. All fire extinguishers were operable. Emergency disaster plan on file, fire drill conducted on 1/15/25. Auditory alarms observed. LPA conducted a review of 2 staff records, 4 resident records, and 4 medication administration records were observed. Exit interview conducted, and a copy of this report was provided.the state’s words, verbatim · CDSS document, Aug 27, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Pamela Bunker conducted an unannounced Required - 1 Year visit with the primary focus on Infection Control measures and using the new CARE Inspection Tool. Upon arrival at the facility, LPA Bunker conducted a risk assessment. Based on the assessment, the facility is clear of COVID-19 infection. LPA was properly screened for COVID-19 symptoms and temperature was checked. LPA Bunker met with House Manager Sheree McKay and explained the purpose of today's Annual Inspection. LPA verified that the facility has an approved Mitigation Plan and Infection Control Report. There are currently 6, residents and in placement. LPA Bunker verified that current staff fingerprints were cleared and associated with the facility. The facility's annual fees are current. The facility has a Dementia Program. The facility is licensed for three (3) hospice care residents. The facility has sufficient staff available and competent to provide the services necessary to meet resident needs. The following 12 Domains will be observed and reviewed: Infection Control, Operational Requirements, Physical Plant & Environmental Safety, Staffing, Personnel Records-Staff Training, Residents Rights-Information, Planned Activities, Food Service, Incidental Medical and Dental, Resident Records-Incident Reports, Disaster Preparedness, and Residents with Special Health Needs. "LPA Bunker will be using this tool and methods that have been developed to improve the efficiency and accuracy of the Department of Social Services' facility inspections." See continued LIC809-C page 2 Continued LIC809-C page 2 The above facility is a single-story family home located in a residential neighborhood. During the visit, Ms. McKay and LPA Bunker conducted a tour of the facility, which consisted of the following areas: Living rooms, dining room, kitchen, six (6) bedrooms, seven (7) bathrooms, office, laundry room, detached garage, and indoor/outdoor activity areas. At the time of the visit, the front and back yard landscaping was well-maintained and in good condition. Bedrooms #1-6 are designated as residents’ bedrooms. The facility was evaluated to ensure it meets the safety and welfare needs of the residents, focusing on cleanliness and the absence of potential hazards. The required documents were appropriately displayed in the living room and hallway walls as mandated. The following areas, regulated under Title 22, were audited and found to be in compliance: - Bedrooms were inspected and contained the required furniture, ensuring safety, privacy, and comfort for residents. - Common living areas and bathrooms were clean and fully operational. - The first aid kit, including a manual, was fully stocked. - Hot water temperature was measured at 115 degrees Fahrenheit. - The facility's telephones were operational, and smoke and carbon monoxide detectors were in compliance and functioning properly. - Fire extinguishers were fully charged. - Medications were centrally stored and securely locked in the office cabinet, with records maintained up-to-date. - An ample supply of both perishable and nonperishable food was available. - Adequate linen supplies and sufficient lighting were observed throughout the premises. - Resident bedroom windows were compliant, with no sliding window locks with thumbscrews. - There were no firearms on the premises, and all exit doors were in compliance. - The yard was free of debris and hazards, with trash cans properly covered and no bodies of water present. - Hazardous items were inaccessible to residents. See continued LIC809-C page 3 Continued LIC809-C page 3 Ms. McKay confirmed that staff had received training on dependent adult and elder abuse reporting. The most recent Fire/Emergency Drill was conducted on July 8, 2024. LPA Bunker observed the facility’s infection control practices, screening protocols for residents and visitors, sanitizer, visitor log, and thermometer at the facility entrance. Logs of daily COVID-19 screening and temperature checks of clients and staff were available and updated. PPE supplies are readily available to staff, and an additional supply of Personal Protective Equipment (PPE) was observed. Sufficient liquid soap, paper goods, cleaning, and disinfecting supplies were observed. Due to time constraints, LPA Bunker will return at a later date to complete the visit. There were no deficiencies cited. Exit interview conducted.the state’s words, verbatim · CDSS document, Aug 7, 2024