Casa De Madera

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Cynthia Chan conducted the annual inspection on 5/18/24. LPA arrived unannounced and met with Staff, Kristina Brown. The purpose of the visit was explained. The facility is licensed for (10) ambulatory residents, ages 60 and over. There are currently (2) residents residing at the home. The facility consists of five (5) bedrooms: (3) bedrooms on the main level are for residents, (2) bedrooms upstairs are currently used by the administrator. Each bedroom has a private bathroom. The facility also has a living room, game room, dining room, breakfast nook, sun room, and kitchen. The laundry machines are located in the basement along with extra food supplies. The swimming pool is surrounded by a fence and has a locking mechanism. Food supplies of 2 day perishables and a week of non-perishables are observed. Smoke and carbon monoxide combo detectors are hard-wired. Knives, sharps, and cleaning solutions are locked in the cabinet. Medications are centrally stored and locked in a closet. LPA reviewed both residents' medications and there are no deficiencies found. LPA reviewed 2 resident files. Resident #1 did not have a physician's report on file. Per the administrator, the resident did not have a physician's report upon admission and is being seen by a new physician. None of the residents have restricted or prohibited health conditions. LPA reviewed 3 personnel files and all the required documents are observed such as the health screening with TB test results, personnel record, and training hours. Staff have current CPR & First Aid certificates and have background clearance. A deficiency is issued on the LIC809D. An exit interview was held. A copy of this report along with appeal rights were given to Nicole Brown.the state’s words, verbatim · CDSS document, May 18, 2024

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Abeye Duguma met with Sonja Johnson for a Required One (01) Year visit. LPA explained the reason for the visit. A tour of the physical plant was conducted at 12:40 PM and the following was noted: There is one entrance being utilized at the facility. The facility has a total of three (03) bedrooms and three (03) bathrooms currently occupying one (01) resident. Two (2) rooms are shared rooms, and one (01) room is private. The facility is fire cleared for ten (10) ambulatory residents. The facility is currently occupying one (01) ambulatory resident. The facility has outdoor furniture with a covered shaded area for residents and visitors. The facility has a swimming pool/body of water with required fencing and locking mechanism. The garage is currently being used for parking. The washer and dryer are located downstairs. Laundry detergents, cleaning agents and other toxins are inaccessible to residents. Kitchen is sufficiently stocked with at least two (2) days perishable and seven (7) days non-perishable food. Frozen foods are wrapped and stored appropriately. Food storage and preparation areas are clean and inaccessible to pests. Knives and sharps are observed to be locked and inaccessible to residents. Living and dining room furniture were also checked. The living and dining room are neat and clean. The facility maintains a comfortable temperature at 70°F. The smoke and carbon monoxide detectors are hardwired, interconnected, and observed to be operational. Fire extinguisher is located near the kitchen, observed to be full and last inspected on 05/09/2023. (continued on LIC 809-C) The residents' rooms are adequately furnished with appropriate lighting system. Hallways are well lit. Residents have enough personal hygiene product provided by the licensee. The bathroom was checked for cleanliness and proper operations. The hot water temperature was measured at 109.1°F. Towels and washcloths are not shared. There was enough clean linen available in the cabinets. LPA observed medication and first aid kit to be locked and inaccessible to residents. No health and safety hazards noted during the visit. Exit interview conducted. Copy of this report issued.the state’s words, verbatim · CDSS document, Dec 16, 2023