Facility Evaluation Report

On 02/20/2024, Licensing Program Analyst (LPA) Walton arrived unannounced to conduct an annual inspection. LPA introduced self, stated the purpose of the visit and requested to meet with the Administrator. Facility staff contacted Administrator, Charlotte Gray via telephone. Administrator was unable to attend the beginning of the inspection, due to a previously scheduled medical appointment. LPA received verbal permission to meet with House Manager, Maria Galindo. Administrator, Charlotte Gray arrived during the inspection.

During the inspection the facility appeared clean and at a comfortable temperature. Common areas were furnished and had adequate seating and lighting available. Resident bedrooms appeared clean and had required furnishings. LPA observed the light bulbs in the ceiling fan in bedroom 3 need to be replaced. Residents bathrooms appeared clean, water temperature measured at 122 degrees F in the bathroom (B1) in bedroom 2 and 121.6 degrees F in the hallway bathroom (B2). LPA observed that the drain in the sink in B1 is in need of repair. LPA observed the towel bars in B2 in need of replacement/repair. Facility kitchen appeared to be clean and safe for food preparation. Food supply checked. LPA observed two bottles of disinfectant stored in the facility pantry. LPA observed that the floor tiles in the kitchen need to be repaired and the light fixture above the kitchen sink needs to be replaced.

Exterior tour conducted, all exits open and free of obstructions on today’s visit. LPA observed the side walkway and gutters needing to be cleaned. Fire extinguisher is current with a service date of 06/19/2023. Smoke detectors and carbon monoxide detector observed to operational. Last fire drill conducted on 01/15/2024. Cleaning supplies observed to be locked in a cabinet. LPA reviewed client and staff files. Upon review of files, LPA found that the staff did not have health screens on file. Medications observed to be locked and administered as prescribed.