Luchen Santos Homes

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Jerome Haley conducted an unannounced visit for the purpose of conducting a required one-year annual inspection. LPA was greeted, granted entry by staff and explained the reason for the visit. Structure: The facility is a single level structure and licensed for four non-ambulatory residents. As of today, the facility has three residents admitted to the facility. All three residents were present during the visit. There’s a total of 4 bedrooms of and 2 restrooms available. There’s a living room space, a dining space, backyard area and an attached garage. Bedrooms: All bedrooms have the required furnishings: bed, lamp, chair, and storage space. Bathroom(s): Bathrooms are equipped with a working toilet, wash basin, and shower. Hot water measured in between 106.1 – 106.8 degrees F. Kitchen: 4 of 4 burners and the warmer were operational on the gas stove. Sharps are kept locked in a cabinet near the stove. Cleaning chemicals are stored in a locked cabinet directly below the sink. Food Service: A supply of perishable and non-perishable food items that meet regulation requirements was observed in the kitchen area and pantry areas. Client & Staff Files: Client and staff files are located in the locked garage. File Review: All three resident files and three staff files were reviewed during the inspection. Medications/First-Aid Kit: Client medications are stored in locked medication closet near the front door. A first aid kit with all the required elements was observed in the locked medication cabinet. Medication Review: 3 of 3 resident medications were reviewed during the visit. Medication is being administered as prescribed, no discrepancies were noted. Continued on LIC809C Linens & Hygiene Supplies: Plenty hygiene items were observed in the main bathroom in a locked cabinet and additional hygiene items are locked in cabinet near the kitchen. Garage Area: The garage is clean and well organized. The walkways were free of obstruction. A washer and dryer was observed. An office area was observed as well as an additional refrigerator with a nonperishable food supply. Incontinent care supplies were observed, as well as wheel chairs, and additional cleaning chemicals. Backyard/Exterior: The backyard is clean and very well organized. Walkways are free of obstruction. A table and chairs was observed under a shaded patio area. Bodies of Water: None Smoke/Carbon Monoxide Detectors: Smoke and carbon monoxide detectors tested operational. Fire Extinguisher: A fire extinguisher were observed mounted on a wall in the kitchen. An emergency evacuation drill: Was conducted October 5, 2025. Evacuation drills are conducted quarterly. Emergency Phone Numbers, House Rules, Exit Plan & Menu: Several facility postings are posted are available for review on the main postings board in the living room area of the facility. Additional Comments: Licensing fees are current. Contact information was reviewed and confirmed during the visit. No deficiencies are being cited during today’s visit. An exit interview conducted, and a copy of the report was provided.the state’s words, verbatim · CDSS document, Oct 13, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Jerome Haley conducted an unannounced visit for the purpose of conducting a required one-year annual visit. LPA was greeted, granted entry by staff and explained the reason for the visit. Staff contacted Licensee/Administrators (AD) Margie Santos via telephone who arrived a short time later and was present for the visit. During the inspection, LPA Haley observed a locked closet right next to the front door with resident medication, resident P&I funds, and a first aid kit with all the required elements. All resident bedrooms were clean, organized, and had the necessary elements and were in compliance with regulation guidelines. Resident bathrooms were clean and organized as well. Hot water temperatures were measured at 108.5 degrees Fahrenheit. Grab bars were tightly secured to the wall, and hazardous items are locked under the sink and inaccessible to resident in care. The kitchen is clean, organized, and a perishable food supply that meets regulation requirements was observed in the refrigerator. A non-perishable food supply that meets regulation requirements was observed in a cabinet below the counter. There was another cabinet below the sink with a supply of towels and additional clean linen. Knives and sharp objects are kept locked in a cabinet near the stove. Hazardous cleaning materials are kept locked under the sink. In between the kitchen and the exit door that leads to the backyard, there’s a small laundry room. In the laundry room a washer and dryer was observed. On the side of the washer, there’s an emergency supply of nonperishable food items, and an emergency bag ready to go incase of emergency. Above the washer there’s a locked cabinet with additional cleaning supplies. The garage is locked and inaccessible to residents at all times. The garage was organized, free of clutter and walkways are free of obstruction. Continued on LIC809C There’s an office area set up with a desk and a printer. Staff and resident files are kept locked in the garage. Miscellaneous items were observed including, wheelchairs, additional COVID supplies, adult diapers, and other facility items. An additional refrigerator with an additional supply of food items was observed in the garage. The backyard was clean, organized, and walkways were free of obstruction. A shaded patio area with tables and chairs was observed. There’s a locked storage area in the backyard that remains locked and used to store miscellaneous facility items. LPA observed a mattress, walkers, wheelchairs, and holiday decorations in the locked storage space. Side exit gates are self-closing and self-latching. No bodies of water was observed. Smoke detectors, and the carbon monoxide detector tested operational. A fully charged fire extinguisher was observed mounted on the wall in the kitchen near the sink. Emergency evacuation drills are conducted on monthly. The last evacuation drill was conducted October 5, 2024. During the inspection, 4 resident files were reviewed, 4 resident medications reviewed, 4 resident P&I funds were reviewed, 4 staff files were reviewed, and 3 staff were interviewed. No deficiencies are being cited as a result of today’s visit. An exit interview conducted, and a copy of this report was provided to Licensee/Administrator Margie Santos.the state’s words, verbatim · CDSS document, Oct 14, 2024