Facility Evaluation Report

On 11/16/23 Licensing Program Analyst (LPA) M. Garza arrived unannounced for an annual inspection visit. LPA contacted Administrator, Dale Martinez who stated Licensee would be to the facility shortly. Licensee, Lupe Martinez and Direct Care Staff, Kyrstyn Martinez arrived a short time later. LPA introduced self, explained reason for visit and was permitted entry into the facility. There are currently no residents residing at the facility.

LPA toured the facility inside and out. Pathways and doors were clear and free from obstruction. Facility was clean and without odor. Common areas were clean, adequately furnished, and adequately lit. Smoke detectors and carbon monoxide detectors were present and operational at time of visit. Fire extinguisher last serviced 5/26/23. Last fire drill on 06/02/2023. Water temperature measured at 119.1 in restroom #2 and 125 degrees F in the kitchen. 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 cabinets in the kitchen and the laundry room.

LPA requested the following documents to be submitted to CCL by 11/23/24: current copy of Administrator’s Certificate, Administrator Organization (LIC 309), Designation of Administrative Responsibility (LIC 308), Emergency Disaster Plan (LIC 610-D), Personnel Report (LIC 500), Register of Facility Clients/Residents (LIC 9020) in order to update the facility file.

No deficiencies were cited during the inspection. TA provided for water temperature. Due to time constraints, LPA will return at a later date for an annual continuation. Exit interview completed with Licnesee and Direct Care Staff. A copy of this report and TA given.