Inspection Reports for Alternative Home Care
4504 La Roca Circle, Las Vegas, NV 89121, NV, 89121
Back to Facility ProfileDeficiencies per Year
8
6
4
2
0
Severe
High
Moderate
Low
Unclassified
Census Over Time
Census
Capacity
Inspection Report
Complaint Investigation
Census: 9
Deficiencies: 0
Aug 12, 2025
Visit Reason
The inspection was conducted as a result of a complaint State Licensure survey at the facility on 08/12/25 in accordance with Nevada Administrative Code (NAC) 449, Residential Facility for Groups.
Findings
There was one complaint investigated which was unsubstantiated. No regulatory deficiencies were identified during the investigation, and no further action was necessary.
Complaint Details
Complaint #NV00074001 was investigated and found to be unsubstantiated.
Report Facts
Residents reviewed: 5
Facility census: 9
Inspection Report
Annual Inspection
Census: 8
Capacity: 10
Deficiencies: 6
Jul 1, 2025
Visit Reason
The inspection was conducted as an annual State Licensure and complaint survey in accordance with Nevada Administrative Code (NAC) 449 for Residential Facility for Groups.
Findings
The facility received a grade of B with one complaint substantiated without deficient practice. Several regulatory deficiencies were identified including failure to review person-centered care plans and ADL assessments annually for some residents, improper use of bed rails, medication administration issues including missing medications and lack of proper medication review sign-offs, and failure to maintain a 30-day supply of personal protective equipment (PPE).
Complaint Details
One complaint (Complaint #NV00074593) was substantiated without deficient practice after investigation including observations, interviews, and record reviews.
Severity Breakdown
Level 2: 6
Deficiencies (6)
| Description | Severity |
|---|---|
| Failed to ensure a Person Centered Care plan was reviewed annually for 3 of 8 residents (Residents #5, #6, #8). | Level 2 |
| Failed to ensure bed rails were not used to keep a resident in bed for 1 of 10 residents (Resident #6). | Level 2 |
| Failed to ensure six month medication reviews were signed off and reviewed by the Administrator for 5 of 10 residents (Residents #1, #3, #4, #6, #8). | Level 2 |
| Failed to ensure medications onsite and available and were given in accordance with physician orders for 2 of 8 residents (Residents #5 and #7). | Level 2 |
| Failed to ensure Activities of Daily Living (ADLs) were assessed annually for 3 of 8 residents (Residents #5, #6, #8). | Level 2 |
| Failed to maintain a 30 day supply of personal protective equipment (PPE) onsite and available for use. | Level 2 |
Report Facts
Licensed capacity: 10
Current census: 8
Deficiency count: 6
Medication review sign-offs missing: 5
Residents with missing annual care plan review: 3
Residents with missing annual ADL assessment: 3
PPE supply: 15
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jannyvill Ruiz | Owner | Named in relation to findings and confirmation of medication and PPE deficiencies |
Inspection Report
Annual Inspection
Census: 8
Capacity: 10
Deficiencies: 6
Aug 3, 2023
Visit Reason
The inspection was conducted as an annual State Licensure and complaint survey in accordance with Nevada Administrative Code (NAC) 449 for Residential Facility for Groups.
Findings
The facility received a grade of B. One complaint was investigated and verified without deficient practice. Several regulatory deficiencies were identified related to caregiver training, elder abuse training, annual physical examinations, tuberculosis testing, cultural competency training, and placement assessments for residents.
Complaint Details
One complaint (#NV00068521) was investigated and verified without deficient practice. The investigation included observation of resident hygiene, incontinence care, staff monitoring, facility tour, interviews with a Medication Technician, ADSD Social Worker, and eight residents, and record review.
Severity Breakdown
Severity: 2: 6
Deficiencies (6)
| Description | Severity |
|---|---|
| Failed to ensure 1 of 5 employees received an initial 16 hours of medication management training. | Severity: 2 |
| Failed to ensure annual elder abuse training was completed for 1 of 5 employees. | Severity: 2 |
| Failed to ensure an annual physical examination was completed for 1 of 8 residents (Resident #3). | Severity: 2 |
| Failed to ensure 1 of 8 residents met the requirements for tuberculosis (TB) testing, lacking second-step TB test documentation. | Severity: 2 |
| Failed to ensure 2 of 5 employees were in compliance with initial cultural competency training requirements. | Severity: 2 |
| Failed to obtain a placement assessment at the time of admission for 8 of 8 residents. | Severity: 2 |
Report Facts
Licensed beds: 10
Census: 8
Employees reviewed: 5
Residents reviewed: 9
Deficiencies with Severity 2: 6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Employee #3 | Caregiver/Medication Technician | Failed to have initial 16-hour medication management training. |
| Employee #4 | Caregiver/Medication Technician | Failed to complete annual elder abuse training. |
| Employee #2 | Caregiver | Lacked documented evidence of initial cultural competency training. |
| Employee #3 | Caregiver | Lacked documented evidence of initial cultural competency training. |
| Janyvill Ruiz | Managing Member | Administrator acknowledged deficiencies and responsible for corrective actions. |
Inspection Report
Annual Inspection
Census: 10
Capacity: 10
Deficiencies: 0
Aug 29, 2022
Visit Reason
The inspection was conducted as an annual state licensure and infection control survey in accordance with Nevada Administrative Code Chapter 449 for Residential Facility for Groups.
Findings
The facility was found to have no regulatory deficiencies and received a grade of A. Ten resident files and five employee files were reviewed during the survey.
Report Facts
Resident files reviewed: 10
Employee files reviewed: 5
Inspection Report
Annual Inspection
Census: 9
Capacity: 10
Deficiencies: 1
Oct 21, 2021
Visit Reason
The inspection was conducted as an annual state licensure and infection control survey in accordance with Nevada Administrative Code Chapter 449 for Residential Facility for Groups.
Findings
The facility received a grade of A. One regulatory deficiency was identified related to the facility's failure to maintain the exterior premises, specifically a leaning east side yard wall creating a hazard for employees and residents.
Severity Breakdown
Severity: 2: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Health & Sanitation - The east side wall separating the rear yard from the east side yard was leaning, creating a hazard for employees and residents. | Severity: 2 |
Report Facts
Resident files reviewed: 9
Employee files reviewed: 5
Overhang measurement: 7
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Janyvill Ruiz | Owner | Acknowledged the hazard of the leaning wall and participated in corrective action |
Inspection Report
Abbreviated Survey
Census: 7
Capacity: 10
Deficiencies: 0
Oct 28, 2020
Visit Reason
The inspection was a COVID-19 focused infection control survey conducted as a State Licensure survey to assess compliance with infection control measures related to COVID-19.
Findings
The facility demonstrated adherence to COVID-19 infection control protocols including screening, PPE use, social distancing, and sanitization practices. No regulatory deficiencies were identified during the survey.
Report Facts
Surgical masks: 350
Boxes of gloves: 12
Gowns: 7
Face shields: 25
Electronic no-contact thermometer: 1
N95 masks: 17
Temperature checks per day: 2
Licensed beds: 10
Residents present: 7
Inspection Report
Annual Inspection
Census: 9
Capacity: 10
Deficiencies: 4
Oct 24, 2019
Visit Reason
The inspection was conducted as an annual State Licensure survey in accordance with Nevada Administrative Code Chapter 449 for Residential Facility for Groups.
Findings
The facility received a grade of A; however, several deficiencies related to medication administration, employee training, and medication management were identified, including failure to maintain a medication plan for a resident with allergies, lack of documented medication management training for an employee, improper medication administration, and failure to ensure medications were administered responsibly to residents.
Severity Breakdown
Severity: 2: 4
Deficiencies (4)
| Description | Severity |
|---|---|
| Failed to maintain a plan of care for a resident with a reported history of adverse reaction to a medication (Resident #4 allergic to Acetaminophen). | Severity: 2 |
| Failed to ensure an employee received the initial 16 hours medication management training (Employee #1). | Severity: 2 |
| Failed to ensure medication was administered as prescribed to a resident (Resident #1) due to medication bottle label mismatch. | Severity: 2 |
| Failed to be responsible for medications administered to residents, leaving medications unattended in residents' rooms (Residents #3 and #7). | Severity: 2 |
Report Facts
Licensed beds: 10
Residents present: 9
Employee files reviewed: 3
Resident files reviewed: 9
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Janyvill Ruiz | Owner | Signed as Owner and responsible for corrective actions |
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