Facility Evaluation Report

On 03/22/2022, Licensing Program Analyst (LPA) Walton arrived unannounced to conduct an Infection Control Inspection. LPA introduced self, stated the purpose of the visit and requested to meet with the Administrator. House Manager, Gonzalo Cruz (HM) is unable to attend this visit due to a prior engagement. LPA spoke with (HM) via telephone and received verbal permission to meet with Lead Staff, Lito Pimentel (LS).

There are 2 out of 2 residents present during today's visit.

LPA conducted a facility tour with LS. Facility appeared cleaned with no obstruction or fire clearance issues. Hand sanitizer was readily available to residents and visitors. Social distancing is maintained in the common and dining areas. Bathrooms have trash cans with lid. Hand washing posters were observed by the bathroom sink. The window screen in the bathroom window was missing. LPA observed a large hole in the bottom right corner of the bathroom door. Bedrooms are single occupant.

LPAs checked residents’ locked medications and observed a 30-day supply. Kitchen toured. A drawer is missing from the cabinet in the kitchen, Food supply was checked and there appeared to be an adequate supply. LPA observed food to be improperly stored which was evidenced by an open package of sausage that was freezer burned and multiple tomatoes in the refrigerator that were bruised and had a small amount of mold growing on top. The window in the dining area is missing, the facility placed a large piece of cardboard to cover the area.

Cleaning and PPE supplies were checked. Facility staff was observed with mask on. Residents wear masks when away from the community.