Facility Evaluation Report

LIcensing Program Analyst M. Flores and S. Doucette arrived at the facility unannounced to conduct a required annual visit. LPA were granted entry by Erica Rodriguez and explain the purpose of the visit.

A tour of the facility was conducted with the Administrator. The residence was set at 72 F temperature and free of passageway obstructions inside and outside.

LPAs observed four bedrooms in the residence. Residents' rooms were toured and inspected. Rooms were found to be clean. Hot water temperature was measured 106.5.

Kitchen toured, supply of food observed, and food stored properly for perishable and nonperishable. Knives were stored in a locked drawer. Medications were stored in a locked medication cart. Cleaning supplies were in a locked cabinet in laundry room. Bathroom #1 shower was not clean. Smoke detectors and carbon monoxide detectors were checked and operating. Fire extinguishers were charged and had service dates of 8/18/23. Fire drill was last completed on 8/16/23. Facility has a pull station fire alarm. Facility has a sprinkler system.

There was outdoor seating for the residents. Pool gate lock was unlocked.

Resident, medication and staff records were reviewed. During record review it was found that S1 was not cleared to work in the facility. Current first aid and CPR were on file for staff.

Deficiencies were noted on the 809D.Civil penalties were issued.

An exit interview was conducted with the Administrator. A copy of this report, plan of correction and appeals rights were discussed and left with the Administrator.