Facility Evaluation Report

.At 10:15 a.m. on this day, May 24, 2024, Licensing Program Analyst (LPA) Delmundo arrived unannounced to conduct an annual required inspection. LPA met with staff, Elisa Chente, and informed the reason for visit. LPA called and spoke with Alanna Spencer, administrator, and authorized Elisa Chente to be with LPA during inspection. Administrator arrived at around 11:38 a.m.

Facility has LIC9282 Infection Control Plan which was submitted on May 9, 2023.

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 supplies of 2 days of perishables and 7 days of non-perishable food. Fire extinguishers were observed fully charge with tags showed serviced April 8, 2024. Smoke and carbon monoxide detectors were tested and observed operational. Hot water temperature in the common bathroom was tested. Storage for medications and sharps were observed locked. First aid kit inspected and observed complete with manual. Fire drill records checked.

LPA reviewed 5 residents and 5 staff files, and interviewed 2 residents and 2 staff. Medications were checked and compared with doctor's orders and LIC622 Centrally Stored Medication and Destruction Records. Facility handles residents' P&I which LPA checked and compared with last recorded balance.

-at 10:20 am, missing fence wood slabs and overgrown weeds about 2 feet to 5 feet high in the front yard.

-at 10:25 a.m., chipped wall and paint in between living room and dining area.

-at 10:30 a.m., trash can in the dining area without lid.

-at 10:41 a.m., shower area with mildew and trash can's lid not properly working.