Facility Evaluation Report

Licensing Program Analyst (LPA) A. Gomez arrived unannounced to conduct a 1 year annual inspection on this date starting at 9:00am. Upon arrival, LPA met with Caregiver, Alexander Fabros. Administrator, Ana Breen arrived at 9:30am.

LPA toured the facility with Administrator including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. All outdoor and indoor passageways are kept free of obstruction. There are no bodies of water observed. A comfortable temperature is maintained at 78 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 149.1 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of 7-day supply of nonperishable and 2-day of perishable foods.

Smoke detectors and carbon monoxide were in operating condition during visit. Fire extinguisher was last serviced on 12/9/2022. First aid kit is complete. Emergency disaster plan updated 12/28/2023.

LPA reviewed 1 of 4 staff records. LPA reviewed 4 of 4 residents’ files. 1 staff not associated to facility.

-At 9:32am, LPA observed the laundry room cabinets unlocked with cleaning solutions (fabuloso) and 2 hammers. Administrator locked away items. Deficiency cleared during visit.

-At 9:42 am, LPA observed unlocked medications, scissors, and wire snippers in kitchen area cabinet. LPA observed Administrator remove and lock away all items. Deficiency cleared during visit.

-At 9:50am, LPA observed water temperature is maintained at 149.1 degrees F. Water adjusted to 118.1F