Inspection Reports for
New Alamo Residence Home

The inspection identified multiple deficiencies including unsecured medications and cleaning supplies, blocked fire exit, lack of non-skid mats in bathrooms, hot water temperature exceeding limits, inadequate food supply and nutrition, lack of planned activities, incomplete resident appraisals, and staff training deficiencies. Immediate and repeat civil penalties were assessed.

The complaint investigation was substantiated for allegations related to temperature and food supply deficiencies. Allegations regarding staff throwing items at residents, inappropriate speech, and soliciting monetary gifts were unsubstantiated due to insufficient evidence.

The investigation substantiated the allegations that the facility did not maintain a comfortable temperature (observed at 64 degrees F) and did not have the required food supplies (2 days perishables and 7 days non-perishables). Allegations of staff throwing items, inappropriate speech, and soliciting gifts were unsubstantiated due to lack of evidence. The facility corrected the temperature and food supply deficiencies during subsequent visits.

The complaint investigation was substantiated for allegations that staff did not maintain a comfortable temperature and did not provide adequate food services. Allegations that staff threw an item at a resident, spoke inappropriately, and solicited monetary gifts were unsubstantiated due to insufficient evidence.

The investigation substantiated the allegations related to inadequate temperature control and insufficient food supplies, with the facility observed at 64 degrees Fahrenheit and lacking required perishables and non-perishable foods. Allegations of staff throwing items, inappropriate speech, and soliciting gifts were unsubstantiated due to lack of credible evidence.

The inspection found multiple deficiencies including unlocked hazardous chemicals and medications accessible to residents, expired staff first aid training, incomplete resident records, lack of quarterly emergency drills, and an outdated fire extinguisher service date. All deficiencies were cited with plans of correction and some were cleared during the visit.

Investigation for complaint #15-AS-20211222084738 found staff member S1 not fingerprint cleared and working at the facility, with conflicting employment dates noted. The deficiency was substantiated.

A deficiency was found where staff member S1 was working at the facility without fingerprint clearance since November 2021, posing an immediate health and safety risk. A $500 civil penalty was assessed.

The facility generally maintained infection control measures such as screening, hand washing stations, and PPE supplies. However, a deficiency was found regarding a staff member (S1) lacking a COVID-19 vaccination exemption and not undergoing required weekly COVID-19 testing.

Investigation of complaint #15-AS-20211222084738 found that employee S1 was not fingerprint cleared and was working at the facility, which was substantiated. The deficiency was dismissed after S1 was removed from the facility on 12/22/2021.

The Department found that an employee (S1) was working at the facility without fingerprint clearance since November 2021, posing an immediate health and safety risk. A $500 civil penalty was assessed.

The visit was triggered by a Priority 1 complaint (#15-AS-20211222084738).

The Licensing Program Analyst toured the facility and observed compliance with food supply, smoke detectors, carbon monoxide detectors, fire extinguishers, and staffing. However, a deficiency was found where an individual (S1) was fingerprint cleared but not associated with the facility, posing a potential health and safety risk.

The complaint alleged that a Registered Sex Offender was associated or present at the facility. The allegation was substantiated based on interviews, document review, and observation. The RSO was confirmed to have been residing and employed at the facility since November 2021. The RSO left the facility before the inspection visit. The substantiation was based on the preponderance of evidence standard.

The investigation substantiated that a Registered Sex Offender was residing and employed at the facility, posing an immediate health and safety risk. The RSO had been present since November 2021 but left the facility prior to the inspection visit. An immediate $500 civil penalty was assessed.