Facility Evaluation Report

On 10/09/24 at 01:45 PM, Licensing Program Analyst (LPA) L. Holmes arrived unannounced to conduct a required annual inspection. LPA was greeted by one staff upon entry and explained the purpose of the visit. The Administrator, Norma Tejero (ADM) holds a standard certificate (#6047865740) . The facility’s fire clearance was approved for a capacity of seventy (70) all may be non-ambulatory residents.

LPA observed a screening station at the entry that contained a thermometer, hand sanitizer, masks, COVID-19 signage, and a visitor sign-in log; There is a surplus of face shields, gowns, gloves and other PPE centrally stored inside the facility that is accessible to all care staff. LPA observed mask, cough etiquette, social distancing and hand washing signs posted throughout. LPA toured the facility including but not limited to common areas, bathrooms, kitchen, front and backyard. Medication and sharps were locked, and there was a sufficient supply of 2-day perishables and 7-day supply of non-perishable foods. All hand washing stations were equipped with soap, paper towels and garbage cans. Hot water temperature in the shared residents' bathroom was measured at 98 Fahrenheit (F.) and the facility's temperature was 69 degrees F. First aid kit complete.

Seven (7) staff and six (6) resident files were reviewed: Resident files need auditing for dates and signatures on Medical Consent forms, the LIC613 and Admission Agreements.

The following forms are to be updated and submitted to CCLD: 10/23/24

-LIC308 Designation of Administrative Responsibility (Reviewed)

-LIC610 Emergency Disaster Plan (Reviewed)

-An updated copy of Administrator Certificate (Reviewed)

-Pest Control Report for July - September 2024