Royal Care Home

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Melisa Rankin arrived at 01:05 pm to conduct a 1-year annual visit. LPA met with Leilanie Acosta Vea and explained the purpose of the visit. A tour of the inside and outside of the facility was conducted with Administrator. The following was inspected and noted during the annual visit: Physical Plant & Environment Safety: The facility has 4 resident bedrooms, and 3 bathrooms,. The facility is occupying five (5) residents and employs two (2) staff of which one is the Administrator and one (1) back-up staff. The facility is clean, safe and sanitary. The facility has smoke and carbon monoxide detectors which were tested and working properly at time of inspection, one is being replaced. The lighting and lamps are sufficient for the use of the facility and for resident comfort and safety. The showers have non-skid flooring. Toilet, hand washing and bathing facilities are operational and secured grab bars are present. The pathways are clear of any obstructions. Disinfectants, cleaning solutions and poisons are inaccessible to residents. The facility has sufficient space inside and outside for activities and visiting. The facility has a backyard for client use with furniture and plenty of shade. The backyard has 2 sheds which are secured. The facility has telephone and internet service for resident use. Operational Requirements: The Facility is operating in compliance with the granted fire clearance and facility sketch. The facility has current liability insurance which expires on 05/17/2027. The facility is approved for a capacity of 5 non-ambulatory and approved for hospice waiver of 1. Staffing, Personnel Records & Training: LPA reviewed two (2) staff files. Files reviewed for current 1st Aid/CPR, Personnel Records/Application, Health screening with TB results. Administrator Certificate expires on 12/03/27. All files were kept up to date with all requirements being met. LPA reviewed two (2) staff training records for Annual Training Requirements of 20 plus hours. Continued 809-C Resident Records & Incident Reports: Five (5) files were reviewed for signed Admission Agreements, Medical Assessments, LIC 602A Physicians Report, ID and Emergency contact forms, Appraisal Needs and Services plans (ANS), TB results, Personal Rights, and Safeguard for personal property and valuables. The facility does not handle cash resources. Incidental Medical & Dental: The facility has a medication cabinet that is kept locked. Facility provides or assist in providing transportation to medical and dental appointments when needed. The medications records were reviewed and all residents in care had a Medication Administration Record (MAR) and a Centrally Stored Medication Destruction Record (CSMDR). LPA inspected medication for all prescription medications. LPA reviewed all residents’ medications, no medications labels were altered, no expired medications, and medications were stored in original containers. Food Service: The facility handles and prepares food safely. The facility has 2-day perishables and 7-day non-perishables to meet the food service requirement. Kitchen areas are kept clean and free insects and pests. Disaster Preparedness: The current emergency disaster forms were reviewed. The facility will resume their quarterly disaster drills. The fire extinguishers were charged and last inspected in 3/16/26. Emergency exits and telephone numbers were posted. Residents with Special Health Needs: The facility does accept dementia residents in care. All items that could pose a danger, sharps, cleaners were inaccessible to residents in care. The facility does not have delayed egress. The facility does not have anyone on oxygen. The facility has 1 resident on Home Health services. The facility has no one on hospice. The facility gate is self-latching and has self-closing equipment on one side. The backyard is completely fenced. The facility front exiting door alarm was working on LPA's visit. Exit interview conducted and copy of report printed for Administrator.the state’s words, verbatim · CDSS document, May 11, 2026

The state marks this report as 4 pages; the online copy we transcribed has 3. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Melisa Rankin arrived at 09:15 am to conduct a 1-year annual visit. LPA met with Leilanie Acosta Vea and explained the purpose of the visit. A tour of the inside and outside of the facility was conducted with Administrator. The following was inspected and noted during the annual visit: Physical Plant & Environment Safety: The facility is a 6 bedroom and 3 bathrooms, one of which is being used as an office and another which is located on the fire clearance as a “Manager room” in the garage. The facility is occupying five (5) residents and employs two (2) staff of which one is the Administrator and two (2) back-up staff. The facility is clean, safe and sanitary. LPA was authorized to enter and inspect facility. The facility has smoke and carbon monoxide detectors which were tested and working properly at time of inspection. The lighting and lamps are sufficient for the use of the facility and for resident comfort. The showers have non-skid mats/non-skid flooring. Toilet, hand washing and bathing facilities are operational and secured grab bars are present. The pathways are clear of any obstructions. Facility is well lit inside and outside for safety. Disinfectant, cleaning solutions and poisons are inaccessible to residents. The facility has sufficient space inside and outside for activities and visiting. The facility has a backyard for client use with furniture and plenty of shade. The backyard has 2 sheds which are secured. The facility has telephone and internet service for resident use. Operational Requirements: The Facility is operating in compliance with the granted fire clearance and facility sketch. The facility has current liability insurance which expires on 05/17/2026. The facility is approved for a capacity of 5 non-ambulatory and approved for hospice waiver of 1. Continued 809-C Staffing, Personnel Records & Training: Staff records are kept confidential. LPA reviewed two (2) staff files. Files reviewed had current 1st Aid/CPR, Personnel Records/Application, Health screening with TB results, Criminal Record statements, and Fingerprint clearance/Associations/exemptions. Administrator Certificate expires on 12/03/25. All files were kept up to date with all requirements being met. LPA reviewed two (2) staff training records for Annual Training Requirements of 20 plus hours. Resident Records & Incident Reports: The facility keeps separate files on each resident confidential. Five (5) files were reviewed for signed Admission Agreements, Medical Assessments, LIC 602A Physicians Report, ID and Emergency contact forms, Appraisal Needs and Services plans (ANS), TB results, Personal Rights, and Safeguard for personal property and valuables. The facility does not handle cash resources. Incidental Medical & Dental: The facility has a medication cabinet in the kitchen that is kept locked and remaining medications are stored in locked office. Facility provides or assist in providing transportation to medical and dental appointments when needed. The medications records were reviewed and all residents in care had a Medication Administration Record (MAR) and a Centrally Stored Medication Destruction Record (CSMDR). LPA inspected medication for all prescription and PRN medications. LPA reviewed a sampling of residents’ medications, no medications labels were altered, no expired medications, and medications were stored in original containers. Food Service: The facility handles and prepares food safely. The facility has 2-day perishables and 7-day non-perishables to meet the food service requirement. Kitchen areas are kept clean and free insects and pests. Disaster Preparedness: The current emergency disaster forms were reviewed. The facility conducts quarterly disaster drills. The fire extinguishers were charged and last inspected in February of 2025. Emergency exits and telephone numbers were posted. Residents with Special Health Needs: The facility does accept dementia residents in care. All items that could pose a danger, sharps, cleaners were inaccessible to residents in care. The facility does not have delayed egress. The facility does have one resident currently on PRN oxygen. The facility has no resident on Home Health services. The facility has 1 resident on hospice. Hospice services records are kept on file. The facility gate is self-latching and has self-closing equipment on one side. The backyard is completely fenced. The facility has exiting door alarms, which were working on LPA's visit. Exit interview conducted and copy of report printed for Administrator.the state’s words, verbatim · CDSS document, May 20, 2025

The state marks this report as 10 pages; the online copy we transcribed has 3. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Melisa Rankin arrived at 09:45am to conduct a 1-year annual visit. LPA met with Leilanie Acosta Vea and explained the purpose of the visit. A tour of the inside and outside of the facility was conducted with Administrator, Leilanie Acosta Vea. The following was inspected and noted during the annual visit: The facility has 3 bathrooms and 6 bedrooms, one of which is being used as an office and another which is located on the fire clearance as a “Manager room” in the garage. The common areas for residents are clean, safe and sanitary. The facility has smoke and carbon monoxide detectors. Carbon Monoxide and 2 smoke alarms were tested and working at the time of visit. The lighting and lamps are sufficient for the use of the facility and for resident comfort. The showers have non-skid mats. Toilet, hand washing and bathing facilities are operational and secured grab bars are present. The pathways are clear of any obstructions. The facility has sufficient space inside and outside for activities and visiting. The facility has a backyard and a front yard area for client use with furniture and plenty of shade. The facility has telephone and internet service for resident use. The backyard has 2 sheds which are secured. The Facility is operating in compliance with the granted fire clearance and facility sketch. The facility has current liability insurance which expires on 05/17/2025. The facility is approved for a capacity of 5 non-ambulatory and approved for hospice waiver of 1. Continued 809-C The facility has 2 full-time staff, one of which is the Administrator, and 2 back-up staff. Staff records are kept confidential. LPA reviewed 3 staff files. Files reviewed had all required information. All staff have current CPR/First Aid training. Administrator training document was reviewed for Continuing Education requirements and an Administrator Certificate was submitted to Licensing in October of 2023. LPA reviewed 3 staff training records for Annual Training Requirements. Training records are kept on file, additional certificates are needed and are scheduled to be completed in the next 14 days. Four (4) resident files were reviewed and all have required paperwork as well as the necessary annual assessments for dementia/mild cognitive residents. The facility has medication locked in office area. The medication records were reviewed and medication audit was conducted. All residents in care had a Centrally Stored Medication Destruction Record that was up to date and accurate. The facility has 2 day perishables and 7 day non-perishables to meet the food service requirement. All food is covered, stored and marked appropriately. Cleaning solutions and equipment are stored separately from food supplies. Kitchen areas are kept clean and free from litter, and insects. LPA observed a meal preparation and meal service. The current emergency disaster forms were posted. The facility conducts quarterly disaster drills. The fire extinguisher was charged. Emergency exits and telephone numbers were posted. A set of keys is available for staff on all shifts to access full facility in an emergency. The facility does accept dementia residents in care. Additional locks will be added for locations where potential cleaners could be stored. The facility does not have delayed egress. The facility does not currently have residents with oxygen. The backyard is completely fenced with a self-latching/self-closing gate. Exit interview conducted and copy of report printed for Administrator.the state’s words, verbatim · CDSS document, May 23, 2024