Facility Evaluation Report

On this day, August 29, 2024, at 2:30 p,m., Licensing Program Analyst (LPA) Delmundo arrived unannounced to conduct an annual required inspection. LPA met with licensee-administrator, George Vidican, and informed the reason for visit.

Licensee submitted the facility's completed LIC9282 Infection Control Plan which LPA received on 10/17/22.

LPA toured the facility inside out with licensee. LPA inspected the front building, including but not limited to the living room, dining area, kitchen, bedrooms, bathroom and yard. There's adequate food supplies of perishables good for 2 days and non-perishables good for 7 days.

Fire extinguisher checked and observed fully charge. Hot water temperature was tested and measured at 105 degrees Fahrenheit. Facility conducts fire drill every month and records showed last conducted August 10, 2024. Facility has 2 in 1 carbon monoxide and smoke detector that was tested and observed functional.

LPA reviewed 1 staff and 1 resident file. Resident's P&I checked and compared with last recorded balance. Medications inspected and compared with doctor's order and LIC622 Centrally Stored Medication and Destruction Record

-at 2:49 pm, soiled carpet in the living room, resident's room and hallway.

-at 2:55 pm, sink in the kitchen not draining properly.