Facility Evaluation Report

On 10/22/2022 at 10:00AM, Licensing Program Analyst (LPA) C. Fowler arrived unannounced to conduct an Infection Control Inspection. LPA met with Administrator, Zenaida Bautista, and explained the purpose of the visit.

Upon entry, LPA's temperature was checked. LPA observed screening station and COVID-19 signs posted near screening station. LPA toured facility including but not limited to common areas, bathrooms, bedrooms, kitchen, garage and back yard. All hand washing stations were equipped with soap and paper towel. Fire extinguisher last serviced on 2/22/2022. There is a minimum of 7-day non-perishables and 2-day perishables foods.

During record review, LPA observed facility has a copy of the mitigation plan on file. LPA observed food and paper supplies are sufficient.

The following deficiencies were observed:

At 10:26AM, LPA observed scissors on the living room table.

At 10:27AM, LPA observed key in the overflow medication drawer and an unlocked lock on the medication cart.

At 10:28AM, during observation unlocked medication on a shelf in the dining room.

At 10:26AM, LPA observed knife drying in dish rack and 1 on the kitchen counter.