Facility Evaluation Report

On 2/27/2023 Licensing Program Analyst (LPA) M. Garza arrived at facility to complete an unannounced infection control/annual visit. LPA met with House Manager, Rachel Bybee discussed reason for visit and was permitted entry into the facility. Administrator, Veronica Soto was contacted and permission was given to complete visit with House Manager, Rachel. LPA observed sign in sheet and was COVID pre-screened at time of entry. LPA completed a health and safety check on residents in care. Residents observed in common areas and in rooms at time of visit.

Required postings including coughing/sneezing etiquette and hand washing posting observed at hand washing stations and throughout the facility. Furniture in common areas are spaced to promote physical distancing. A 2-day supply of perishable and 7-day supply of non-perishable food was observed. Bedrooms observed with required furnishings and lighting. Facility telephone was observed working at time of visit A supply of PPE is located in hallway cabinet. The 30 day supply of medication is located in a locked cabinet off the kitchen.

Linens, hygiene and cleaning supplies observed.. Fire Extinguisher last serviced 02/20/23. LPA requested the following updated forms by 3/6/2023: LIC 308, LIC 309, LIC 500, LIC 610D, and LIC 9020.

No deficiencies cited during todays visit. Exit interview completed with House Manager, Rachel and Administrator, Veronica. A copy of this report was given.