Facility Evaluation Report

On 7/21/23 at 10:46 a.m. Licensing Program Analyst (LPA) B. Miranda arrived at the facility unannounced to conduct an annual inspection. LPA was greeting by caregiver Lorena S. and allowed entrance into the facility. Administrator Elsa Snyder was contacted and informed of the reason for the visit. Administrator arrived at the facility at a later time. Tour of the facility was conducted with caregiver Lorena S.

LPA toured the facility inside and out. LPA observed fire extinguishers to be last serviced 12/13/22 and in good standing condition. LPA checked water temperature in kitchen, water temperature read at 114.4 degrees Fahrenheit. LPA observed staff testing smoke and carbon monoxide detectors which are in working condition.

LPA observed entry and exits points to be clear and free from obstructions. LPA observed facility to be free from clutter. Facility currently has 13 residents. LPA observed each resident has their own room with proper furniture, storage, and lighting.

LPA observed a sample of resident and staff files. Administrator has current Administrator Certificate on file.

Administrator stated due to poor reception the facility does not have internet access for residents, this deficiency is citable. LPA reviewed files and facility did not have an infection control plan on file, this deficiency is citable.

Exit interview was conducted and a copy of this report & LIC809D was provided to administrator.