Facility Evaluation Report

On this day, May 9, 2023, at 12:10 p.m., Licensing Program Analyst (LPA) Delmundo arrived unannounced to conduct an annual required inspection. LPA met with staff, Sameer Aziz and

Rosa Ramirez. and informed the reason for visit. LPA spoke with Alanna Spencer, administrator, who can not come to the facility, and authorized Sameer Aziz to be with LPA during inspection, and sign and receive this report.

Facility has an approved LIC808 Mitigation Plan and an LIC9282 Infection Control Plan on file.

LPA inspected the facility inside and out including but not limited to living room, dining area. kitchen, laundry area, bedrooms, bathroom, front, side and backyard. Facility has sufficient perishable and non-perishable foods. Fire extinguishers were observed fully charge with tags showed serviced March 20, 2023. Facility has smoke detector that was observed operational. Hot water temperature in the common bathroom was tested.

LPA reviewed 5 residents and 5 staff files, and interviewed 2 residents and 2 staff. Medications were checked and compared with records . Storage for medications and sharps were observed locked. First aid kit inspected and observed complete with manual.

-at 12:44 pm, Purell Professional disinfectant and broken toilet paper holder in the bathroom

-at 12:49 pm, hot water temperature at 138.5 degrees Fahrenheit

-at 12:54 pm, Centrum for Women in one of male resident's room; ripped window blinds; broken drawer