Facility Evaluation Report

On 5/13/2024 Licensing Program Analyst (LPA) M. Garza arrived unannounced for an annual inspection visit. LPA was met by Direct Care Staff, Stanley Thomas. LPA introduced self, explained reason for visit and was permitted entry into the facility. Licensee was contacted and stated they were unavailable to come to the facility. Licensee provided permission to complete visit with Direct Care Staff, Stanley.

LPA completed a health and safety check on residents in care. LPA toured the facility inside and out. 2 of 4 residents present during visit. Residents observed in common areas and in backyard. 2 of 4 residents attending day program. Pathways and doors were clear and free from obstruction inside facility. Common areas were adequately furnished, and adequately lit. Smoke detectors detectors were present and operational at time of visit. Fire extinguisher last purchased 4/23/24. 1 of 4 resident rooms observed to have the required furnishings and with adequate lighting. Linen supplies are kept in linen closets. Sharps, chemicals and medications were located in locked closets/rooms. LPA observed sufficient seating under covered patio area.

The following issues were observed during visit: Facility is in need of general housekeeping. Facility observed with overbearing odor of cigarette smoke. Broken tile in walkway to front living room. Facility observed with flies. Food in refrigerator/freezer was improperly stored/missing dates. Freezer door broken inside. Kitchen drawers/cabinets off track/not closing properly. Wood rot under kitchen sink cabinet. Tile missing in kitchen. Flooring in living/dining area lifting. Chemicals observed under kitchen sink/cabinets/in garage.