Facility Evaluation Report

On 05/04/2023 at 8:30 AM, Licensing Program Analyst (LPA) J Sampair arrived unannounced for a Case Management visit. Upon entering the facility, LPA informed Caregiver Norma Solon of the purpose of the visit: rodent control.

During the 04/04/2023 inspection, this LPA had identified and showed rodent feces in a kitchen drawer to Caregiver Norma Solon, but failed to cite the facility. This return to the facility was to cite them. During this inspection of the kitchen, the LPA observed at 8:45 AM that the drawer had been cleaned and sanitized. He did not observe any other rodent droppings. However, he did observe and feel and thick coat of grease and grime on the kitchen drawers and in the cabinets.

LPA and Administrator (ADM) Asha Jain spoke about this briefly over the phone and ADM arrived at approximately 9:30 AM to inspect the kitchen herself. During that time, she acknowledged that the level of grease and grime in and on the drawers and cabinets was unacceptable. She also discovered the likely source of the grease and grime was the absence of a working exhaust fan over the stove.

1 A-Type and 2 B-Type citations issued for the deficiencies above (refer to LIC809-D for details).

Exit interview conducted with ADM by phone and a copy of this report provided via email.