Indalo Homes

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Bernadette Allen conducted an unannounced visit to conduct an annual required inspection. LPA met with Assistant Administrator- Hennessy Hernandez, who was informed of the purpose of the visit. The facility is licensed to serve 6 non- ambulatory residents age 60 and over of which (1) maybe bedridden. Room #3 is designated for a bedridden resident. The facility has an approved hospice waiver for 6 residents. Currently there are four (4) residents in care. The front house consists of the following: (4) resident bedrooms, (2) Full bathroom, 1 half restroom, Activity room, living room, kitchen with dining area, laundry room (located in the rear of the home), beauty salon room and an outdoor shaded patio area. The back home consists of the following: (2) bedrooms (1) full bathroom, and an office. LPA toured the Resident bedrooms and observed that they had the required furniture, bed linens and closet/drawer space to accommodate each resident comfortably. At 9:00 AM LPA reviewed three (3) staff files for First Aid/CPR certification, criminal record clearance, trainings, and health screenings which appeared to be up to date. LPA also reviewed four (4) clients’ files for admission agreements, updated physician reports, and needs and services plan which appeared to be up to date. At 10:45 AM, LPA and Hennessy toured the physical plant. There were no bodies of water or obstructions on the premises inside or outside. LPA inspected a total of six (6) bedrooms and four (4) bathrooms. The beds and bedding supplies appeared to be in good condition, adequate lighting was provided, and storage for the residents’ personal belongings was observed. The bathrooms were in good condition and operational. The water temperature ranged from 105°F to 118. °F, and the facilities temperatures ranged from 72°F to 78°F. LPA observed that the facility appeared to be clean, sanitary, and appropriately furnished. Storage areas for personal hygiene were in place. Cleaning supplies, toxins, and sharp objects were stored in a way that made them inaccessible to residents in care. The kitchen was inspected, and there was a 5-day supply of perishable and a 7day supply of non-perishable food items available, which was adequately maintained/stored. The fire extinguishers, carbon monoxide detectors and smoke detectors were fully charged and operable. Based on the observations made during today’s visit, no deficiencies were cited. An exit interview was conducted, and this report was discussed and provided to Assistant Administrator- Hennessy Hernandez, at the conclusion of the visit.the state’s words, verbatim · CDSS document, Feb 18, 2026

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Sparkle Day conducted an unannounced visit to the above facility. The purpose of today’s visit was to conduct the one-year inspection. LPA met with Hennessy Hernandez, Assistant Administrator and the purpose of the visit was discussed. Facility is licensed to serve 6 non- ambulatory residents age 60 and over of which (1) maybe bedridden. Room #3 is designated for a bedridden resident. The facility has an approved hospice waiver for 6 residents. One (1) of the residents is diagnosed with dementia. One (1) resident is receiving home health services. No residents are receiving hospice care services. The facility does not handle any of the residents’ money. This home is a single story home with a back home in the back. The front house consists of the following: (4) resident bedrooms, (2) Full bathroom, 1 half restroom, Activity room, living room, kitchen with dining area, laundry room (located in the rear of the home), beauty salon room and an outdoor shaded patio area. The back home consists of the following: (2) resident restrooms, (1) full bathroom, office. LPA toured the Resident bedrooms and observed that they had the required furniture, bed linens and closet/drawer space to accommodate each resident comfortably. Resident bathrooms were checked. Toilets and water faucets worked properly, grab bars were secure, shower was free of mold/mildew and a non-skid mat was in place, water temperature measured between 110.1F. Resident bath towels, toiletries and personal hygiene supplies were adequately stocked. Common areas were clean and clear of hazards; doorways were free of obstructions. Kitchen was checked and observed to be within Title 22 regulations. Perishable and non-perishable food supply was checked. All cleaning solutions, hazardous items, and medications were securely locked and inaccessible to residents. Smoke detectors were working properly and fire extinguisher was fully charged. Carbon monoxide detector was operational. First Aid kit was available. Outside grounds were toured and no bodies of water were observed. Walkways around the home were clear of hazards. There are no security bars or weapons on the premises. During todays visit LPA did not observe any deficiencies. Exit interview conducted with Hennessy Hernandez Assistant Administrator. A copy of this report was provided at time of visit.the state’s words, verbatim · CDSS document, Jan 30, 2025

Type of visit: Prelicensing

On 01/24/2024 Licensing Program Analysts (LPA) David España conducted announced visit to this facility. LPA was greeted by applicant Ivan Garel-Jones and explained the purpose of today’s pre-licensing inspection visit. An application was submitted to CCLD on 09/28/2023 in the initial license application for a residential facility for the elderly, ages 60 years and above. The applicant requested a capacity of six (6) individuals, of which six (6) are non-ambulatory, and one (1) bedridden. Structure: The facility is a four (4) bedroom, three and half (3 -1/2) bathroom, one story home with a one (ADU) backhouse (i.e., bedroom #4) situated in a residential neighborhood. The home includes a living, dining, kitchen, and laundry area. The living room did include a fireplace. The living area included sectional seating. the kitchen has a refrigerator and stove. The rear exterior is fenced throughout. the passageways, walkways, and steps are free from obstructions. Evaluation Report Continues. Bedrooms Residents: The facility had four (4) bedrooms for residents. There are four (4) bedrooms for non-ambulatory residents and (1) of the bedrooms specific for the bedridden. All rooms include a full, queen, and twin-size bed, one (1) chair, one (1) nightstand, and one (1) table lamp. All bedrooms are equipped with a ceiling light. All rooms had a dresser, which complies with the requirement of 8 cubic feet of space. All rooms had closets for ample storage. Bedrooms Staff: There is no bedroom designated for live-in staff. Bathrooms: The facility has three and half (3 1-2) bathrooms. Bathrooms are accessible in all rooms. All bathrooms have a working toilet, washbasin, and shower with grab bars and non-skid mats. Linens & Hygiene Supplies: Beds have the required linen supplies which include pillowcases, mattress pads, fitted sheets, blankets, and bedspreads. An adequate supply of linen is stored in the hall closet inside the bedrooms. Emergency Phone Numbers, Exit Plan & Menu: Emergency phone numbers. The exit plan and menu are posted and readily available for review throughout the home. There are two (2) fire extinguisher located in the kitchen mounted on the wall. A telephone line is available in the kitchen, living, and dining rooms (telephone is housed in the living). Evaluation Report Continues. Emergency supplies and Personal Protective Equipment supplies are stored in the kitchen. The applicant as an approved Infection Control Plan on file Food Service: Dishes, cups, and flatware are stored in the kitchen cabinets, inspected, and in good repair. Knives, cutlery, and other sharp kitchen utensils are stored in a locked kitchen drawer. Food supply is adequately stored in kitchen cabinets and consists of the canned goods. The kitchen counters also had small appliances. Smoke Detectors: Smoke and carbon monoxide detectors throughout the interior space. Hardwired smoke detectors in all four (4) bedrooms and hallways. Carbon monoxide is located in the hallway. Toxins: All toxins are locked and stored under the kitchen sink cabinet. Appliances: Stove burners, oven, microwave, washer, and dryer are working. The kitchen counters also had small appliances which includes a blender, toaster, electric can opener, and coffee maker. There are two (2) refrigerators in the facility. The refrigerator measured a temperature of at least 40 degrees Fahrenheit for appropriate food storage. The facility is equipped with central heaters and air conditioning systems. Water Temperature: The water temperature is 120 degrees Fahrenheit throughout the kitchen and bathrooms. Evaluation Report Continues. Medications, First-Aid Kit & Book: A first aid kit is stored in the medication cabinet inspected which has at least the following: thermometer, tweezers, scissors, antiseptic, bandages, gauze, and locked and inaccessible to residents. The resident's medications will be stored in the same medication cabinet locked in the office area and inaccessible. Resident & Staff Files: The applicant is not handling the cash resources for residents. Records of staff and residents will be stored in a cabinet in the office area. Reading Material, Games, Equipment & Materials: The facility has board games, books, magazines, and other recreational materials for the resident's use all stored in the living room. Pool/Jacuzzi & Pets: There is no jacuzzi, or pool in the fenced area. There is one (1) resident pet cat. Fire clearance: A Fire Clearance inspection was conducted on 10/26/23 approved for a capacity for six (6) non-ambulatory, and one (1) bedridden. Component III: LPA España conducted the Pre-Licensing inspection along with the information provided about how to operate the facility within substantial compliance with Component III PowerPoint. LPA España did observe one correction: Missing first aid manual (Placed order to arrive 01/26/2024) Evaluation Report Continues. An exit interview was conducted, and a copy of this report has been furnished to the applicant Ivan Garel-Jones. LPA España will submit a copy of this facility evaluation report to the Central Applications Unit (CAU) for review. If the applicant has questions regarding the status of the application, they have been instructed to communicate with the CAU Analyst assigned to their application. END OF REPORTthe state’s words, verbatim · CDSS document, Jan 24, 2024