Facility Evaluation Report

On 9/14/2021 at 1:20 PM, Licensing Program Analyst (LPA) Leslie Ibo conducted an infection control annual inspection and explained the purpose of the visit with Paul Lam. LPA observed 5 residents during the visit. Facility has a completed mitigation plan. LPA inspected the facility inside and outside.

Infection control designated leader is the Administrator. There was at least 7 days of nonperishable and 2 days of perishable foods. Facility room temperature was maintained at least 72 degrees Fahrenheit. A certified administrator is on site a minimum of 20 hours a week to oversee proper business operation. Smoke and Carbon monoxide detectors were operational. Water temperature was checked 105.5 degrees Fahrenheit. Fire extinguisher has a check tag Sept. 2021.