Facility Evaluation Report

On this day, July 28, 2023, at 2;50 p.m, Licensing Program Analyst (LPA) Delmundo arrived unannounced to conduct an annual required inspection. LPA met with LPA met with Crizaldo Robles, staff. LPA called and spoke over the phone with Joseph Crisol, administrator, and informed the reason for visit. Administrator authorized Crizaldo Robles to be with LPA during inspection. Administrator arrived at 4:00 pm and has to leave. Administrator authorized Crizaldo Robles to sign and receive this report.

Facility has LIC9282 Infection Control Plan.

LPA toured the facility inside out. LPA inspected the dining room. kitchen, receiving area, bathrooms/shower rooms, side and backyards. LPA randomly selected 6 bedrooms for inspection. Food supplies were observed good for 2 days of perishables and 7 days of non-perishables. Central storage for medications was locked.

Facility has smoke and carbon monoxide detectors that were tested and observed functional. Hot water temperature in one of the bathrooms was tested, and measured at 112.6 degrees Fahrenheit..

LPA reviewed 5 staff files, and interviewed 3 staff.

-at 3:04 pm, medications, Lysol and peritoneal cleanser in one of the residents' rooms.

-at 3:13 pm, window screen in one of the residents bedrooms ripped and bent.

-at 4:20 pm, no record of disaster drill.

-at 4:55 pm. staff's (S2) First Aid/CPR certificate expired 4/2023.

-at 5:00 pm. staff (S3) has no First Aid/CPR and health screening record on file.