Facility Evaluation Report

An unannounced Health & Safety check was conducted on the date & during the times identified above by Licensing Program Analyst (LPA) K. McClurg. LPA was allowed entry & was joined by Administrator (Admin) Ramona Eleco. LPA stated purpose of visit & was allowed to proceed with visit.

LPA toured facility. Residents in dining room being served dinner. Residents appeared to be appropriately dressed & groomed. Dinner consisted of hamburger patties with buns, chili beans, & cole slaw. Food appeared to be generally appealing & portions sufficient. Sufficient seating, tables, & lighting in dining room. Medication stored in locked room. Passageways observed to be clear & free of obstruction. Facility staff in process of cleaning/general housekeeping. Cleaning cart containing miscellaneous cleansers & Raid bug spray observed in hallway outside of room while staff was in resident room #39 cleaning. Cleansers/bug spray observed to be accessible to residents when cart is outside of room in hallway while staff are in resident rooms cleaning.

Health & Safety check completed. Deficiency issued.

Exit interview conducted with Admin. Report provided.