Facility Evaluation Report

On 1/29/2024, Licensing Program Analyst (LPA) K. Kaur arrived unannounced at the above facility to conduct an Annual Inspection. LPA introduced self, stated the purpose of the visit, and was granted entry to the facility by staff Gilbert Goyal. Licensee /Administrator was contacted and arrived a short time later.

LPA toured the facility with the staff. Tour started at the facility kitchen. Knives were locked in the kitchen cabinet. Cleaning supplies observed locked in the cabinet under the kitchen sink. Medications observed locked in the upper kitchen cabinets. LPA observed 7-day supply of non-perishable foods and 2-day supply of perishable foods. The fire extinguisher in kitchen was serviced 4/21/2023. The dining room is equipped with a table and chairs, the living room is equipped with adequate sofas and recliners for seating. Residents' bedrooms were observed to be adequately furnished with bed, dresser, and adequate lighting. Mattresses and linen were in good condition. Extra linen and towels are available in hallway closet. Hot water temperature measured at 105 degrees F. At 10:45 AM LPA observed in a resident bedroom; a window screen that was torn. LPA observed grab bars installed by toilet and non-skid mats in place. Smoke alarm detectors and Carbon monoxide detectors installed and operational. Adequate outside space for rest and recreational. Sufficient seating observed under covered patio. At 12:20 PM LPA observed outside exit gate was locked with a padlock from the outside. Backyard gate is self-closing and self-latching.

Resident's records contained signed Admission Agreement, Personal Rights, and current Physician's Report and ID Documentation. Staff files were reviewed for good health. It was verified that current staff on duty is CPR certified. Last Fire Drill conducted on 1/20/2024.