Facility Evaluation Report

05/16/2023 01:45 PM Licensing Program Analysts (LPAs) Rebecca Knight and Sarah Benson arrived at the facility unannounced to conduct a Required-1 Year inspection. LPAs met with licensee Nora Chavez-Serrano ( 6009563735 exp. 12/22/2023 ) and explained the purpose of the visit.

LPAs and the administrator toured the facility together to ensure the health and safety of residents in care. Areas toured include but are not limited to three (3) resident rooms, common areas, two (2) bathrooms, kitchen, storage areas and back yard. Staff and resident files were reviewed. Medications were also reviewed.

Common area was clean and in good repair. All bedrooms had required furniture, bedding, and lighting. Bathrooms were clean and in good repair. Kitchen was clean and in good repair. Facility has required (7) seven-day non-perishable and (2) day perishable supply of food. Medication is locked in a cabinet in the hallway.

Administrator certificate is current. First aid kit fully stocked and ready for emergency use. Fire extinguishers fully charged and were inspected in 02/19/2022. Smoke detectors are all operational. All employees requiring background checks are cleared. All required postings are displayed within facility.

No pools/bodies of water are on premises. No firearms are on premises. Last disaster drill was conducted in April 4, 2023 which was a fire drill the facility has been conducting drills every 6 months. In the areas toured no immediate health, safety, or personal rights violations were observed.

No deficiencies are being cited as a result of today’s inspection. Technical assistance was provided.

Exit interview conducted and copy of report was provided to licensee Nora Chavez-Serrano