Facility Evaluation Report

On 04/17/2024 at 3:25 PM, Licensing Program Analyst (LPA) L. Alexander arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Licensee/Administrator, Restituto Sabadera and explained the purpose of the visit. The facility’s fire clearance was approved for capacity six (6) residents in which five (5) may be non-ambulatory and one (1) may be bedridden in bedroom #1. Hospice waiver approved for four (4) residents.

LPA toured facility with Restituto including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility consists of 5 total bedrooms which 3 bedrooms are occupied by the residents and 2 bedrooms is occupied by staff. All outdoor and indoor passageways are kept free of obstruction. There are no bodies of water observed. A comfortable temperature is maintained at 70 degrees Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in the residents’ shared bathroom was measured at 105 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of one week supply of nonperishable and 2-day of perishable foods.

Smoke and carbon monoxide detectors were in operating condition during visit. Fire extinguisher was last purchased 10/07/2023. Emergency Disaster Plan was last posted on 02/09/2024. First aid kit was observed to be complete. Emergency disaster drill was last conducted on 02/07/2024.

LPA reviewed 1 resident's records. LPA reviewed 2 staff records and 2 of 2 have current first aid training and associated to the facility.