Facility Evaluation Report

On 01/21/25, Licensing Program Analyst (LPA) M. Yang arrived unannounced to conduct an annual visit.

introduce self, stated the purpose of the visit and met Licensee/ Administrator (L1) Socorro Ann Telmo. LPA toured facility with L1. All residents were present during inspection of which 3 residents are receiving hospice care. Residents were observed sitting in the common areas and in the bedroom during tour.

The facility was observed to be at a comfortable temperature, clean, in good repair, and no passageway obstructions or fire hazards were observed inside or outside.

An adequate supply of perishable and non-perishable food was observed. At 12:25PM, LPA observed expired perishable foods and snacks in the pantry. Refrigerator temperature is maintained at 36 degrees F and freezer at 0 degrees F. Chemicals were observed locked under kitchen sink. LPA and L1 observed cleaning chemicals stored in garage cabinet unlock. A shovel was observed placed next on the outside of the garage cabinet. A bug spray bottle and car oil bottles were observed stored in the back of the garage unlock. LPA continue toured inside the facility LPA and L1 observed a tool ranch stored unlock in the kitchen drawer. Knives were observed lock under kitchen counter. Medications were observed locked in kitchen shelves. MARs were reviewed and medications were checked.

Fire extinguisher was observed with a service date of: 03/08/24. Last fire drill completed on 01/18/25.

All bedrooms were observed to have the required furnishings and with adequate lightening. Extra linens were observed. The bathrooms were toured and observed operational during inspection. Non-skid mat and grabbed bars were observed. Hot water temperature was tested at 118.6 degree F in the bathroom 1 and 119.3 degree F in bathroom 2.