Facility Evaluation Report

On 2/13/2024 at 12:20pm, Licensing Program Analyst (LPAs), L. Hall and T. Syess-Gibson arrived unannounced to conduct a health and safety check as a result of the department receiving a complaint (15-AS-20240212113726). LPAs met with Ding Wang, Administrator and explained the reason for the visit.

During the health and safety check LPA toured the facility with the Administrator including but not limited to common areas, bedrooms, back yard, and kitchen. Upon arrival LPA observed S3 was not associated to the facility. A bottle of medicine was sitting on the table and the medicine cabinet was unlocked.

The following deficiencies were observed during the check:

At 9:40am, LPAs observed S3 was not associated and during record review that R3 was not fingerprint cleared.

At 9:40am, LPAs observed medicines were in unlocked closet and there was a bottle of Tylenol sitting on the kitchen table.

At 9:55am, LPAs observed unlocked kitchen drawer containing knives, a bottle of S2 medication in unlocked kitchen cabinet, and a pair of scissors sitting on kitchen counter top in utensil dryer.

At 10:05am, LPAs observed rotting fruit sitting on kitchen table and rotting vegetables in refrigerator. Facility did not have a 7-day supply of non-perishables and 2-day of perishables for the residents.