Facility Evaluation Report

On 3/4/2022 at 10:15 am Licensing Program Analyst (LPA) C. Fowler arrived unannounced to deliver the findings from the Infection Control Inspection conducted on 3/1/2022

LPA met with Administrator, Daniel Villa and explained the purpose of the visit.

LPAs observed the following deficiencies;

-At 2:40pm LPAs observed facility dose not have a Mitigation Plan.

-At 2:49pm LPAs observed unlocked scissors on desk in office/dining room.

-At 2:50pm LPAs observed rakes, shovel, paint, tree trimmer, 3 ladders, lawn mower and unlocked shed in back yard.

-At 2:59pm LPA's observed a hole in the ceiling, no grab bar in bathtub, in shared bathroom, water temperature 129.5 degrees F.

-At 3:04pm LPAs observed bedridden resident with restricted health condition without fire clearance in room #1.

-At 3:05pm LPAs observed a screw driver in the shower to operate the shower faucet in bedroom #1.

-At 3:11pm LPAs observed garage door unlocked. In the garage there was a staff sleeping in a makeshift bedroom being used for accommodation.