Facility Evaluation Report

On 12/18/24 Licensing Program Analyst (LPA) M. Garza arrived unannounced for an annual inspection visit. LPA contacted Administrator, Veronica Matthew who stated they were currently unavailable and staff was okay to start visit with. LPA was met by Direct Care Staff, Jackie Neria . LPA introduced self, explained reason for visit and was permitted entry into the facility. Administrator arrived some time later.

Residents were at day program during time of visit. LPA toured the facility inside and out. Pathways and doors were clear and free from obstruction inside facility. 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 8/15/24. Last fire drill on 12/4/24. Water temperature measured 106.2 degrees F. Resident rooms observed to have the required furnishings and with adequate lighting. Linen supplies are kept in linen closets. Sharps and medications were located in locked drawers/lock box. LPA observed sufficient seating under covered patio areas.

The following issues were observed during the time of the visit: Rug at entryway in kitchen torn and in need of replacement. Chemical observed in staff restroom unlocked and accessible to residents. Bathroom sink cupboard missing door and in need of replacement. Windows not closing properly and in need of weather stripping. Chemicals observe unlocked and accessible to residents in dining area. Bath towel observed in restroom. Bathroom shower observed with smell of mildew in need of cleaning. Hallways heater cover observed dirty and in need of cleaning. Tools observed in tree to left of facility unlocked and accessible to residents. CONT...