Golden Heart Villa

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Tuesday Cabiness conducted an annual inspection. LPA knocked on front door, and was greeted by caregiver Carolina Agasen, who informed Administrator Suzette Tamayo, the reason of the visit. The facility is licensed to serve (6) non-ambulatory elderly clients, with (1) hospice waiver. The current census is (5). LPA observed licensing postings, activity calendar, personal and resident rights, grievance and complaint procedures, and disaster and fire plan, and COVID signs posted throughout the facility. A physical plant inspection was conducted with Administrator. The facility has (4) bedrooms and (2) bathrooms. The common areas, living and dining room, and kitchen area was neat and clean, and passageways were free from obstruction. Inside temperature was comfortable, and residents were observed eating lunch in the dining room. Kitchen cabinets were locked with medication, and knives; cleaning supplies were locked and secured in the garage. Water temperature measured at 106.7. The facility provides an adequate amount of perishable and non-perishable, with an extra refrigerator stored outside in garage. Client’s bedrooms were properly furnished, supplied with appropriate bedding, linens, and were clean. Bathrooms were clean, with soap and towels available, and handicap accessible. Toxic substances were locked and stored in the garage. Smoke alarm and carbon monoxide detectors observed and tested. Fire extinguisher fully charged. All exit doors have alarms. Gates were unlocked and easily to access, with clear passages, and free from obstruction. First aid kit has all required equipment. Medications are stored in a locked cabinet; centrally stored medication record reviewed, no discrepancies. Staff/client files and training records reviewed; all licensing documents observed in files. All clients and staff are vaccinated, and records were observed. The facility has sufficient stock of PPE in a storage cabinet located in the garage; as well as personal hygiene products available for residents. Exit interview conducted, and copy for report provided.the state’s words, verbatim · CDSS document, Nov 6, 2023

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Abeye Duguma met with the Suzette Tamayo for a One (1) Year Required - Infection Control visit for this facility. LPA explained the reason for the visit. A tour of the physical plant was conducted at 11:30am and the following was noted: There is one entrance being utilized at the facility, there are required posters posted at the main door. Screening area is located immediately upon entrance. Sign in sheet, infrared thermometer, hand sanitizer, gloves and masks are available. LPA was screened upon entry. All staff were observed to be wearing masks upon entrance and during the visit. Signs to wear masks and other COVID 19 prevention protocol signs were posted outside the doors. Hand washing, coughing etiquette, physical distancing and other necessary signs were posted in the bathroom and all over the facility. The facility has a designated outdoor visitors' area located in the backyard. The facility has sufficient stock of PPE in a storage cabinet located in the garage. The facility has a total of five (05) bedrooms for residents and two (02) bathrooms for both residents and staff. The facility is fire cleared for six (06) non-ambulatory and a hospice waiver for two (02). The facility is currently occupying five (05) non-ambulatory residents of which three (03) are under hospice care. The facility has outdoor furniture, with a covered shaded area for residents. The facility does not have a swimming pool/body of water. The garage is being used for laundry and storage. Laundry detergents, cleaning agents and other toxins are stored in a locked cabinet in the garage. Kitchen area was sufficiently stocked with at least two (2) days perishable and seven (7) days non-perishable food. Frozen foods are properly wrapped and stored appropriately. Food storage and preparation areas are clean and inaccessible to pests. (continued on LIC 809-C) Knives and sharps are observed to be locked in a drawer inaccessible to residents. Living and dining room furniture were also checked. The living room is neat and clean along with the dining room. The facility maintains a comfortable temperature at 70°F. The smoke and carbon monoxide detectors are hardwired, interconnected and observed to be operational. Fire extinguishers are located in the kitchen, observed to be full and last inspected on 03/15/2021. The residents' rooms are adequately furnished with appropriate furniture and lighting system. Hallways/passageways 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 108.6°F. Towels and washcloths are not shared. There was enough clean linen available in the storage closet and in each residents room. LPA observed medication to be locked and inaccessible to residents, located in the kitchen. There is a complete first aid kit located in the hallway cabinet. Exit interview conducted. Copy of this report issued.the state’s words, verbatim · CDSS document, Dec 27, 2021