Facility Evaluation Report

Licensing Program Analysts (LPAs) Nune Margaryan and Blanca Gonzalez conducted an unannounced annual visit using the Infection Control Evaluation Tool. LPAs met with Richard Villaverde, Administrator and explained the reason for the visit. Physical Plant was toured, residents files and medication records were reviewed, staff files records reviewed, and food supply was inspected. The facility is licensed for fifteen (15) residents over the age of 60.

The facility is a single story building. LPAs toured the home and inspected nine (9) resident bedrooms, one (1) staff rooms 3.5 bathrooms, kitchen, dining room, living room, office, storage room, and laundry room. There is only one entrance being utilized at the facility, all required posters were posted at the entrance. LPA toured the facility. All indoor and outdoor passageways were free of obstruction and there are no pools or large bodies of water. There is a shaded seating area for the residents located in the back of facility. LPAs observed laundry detergent, cleaning sprays and Bleach sprays at the outdoor activity area were unlocked and accessible to residents. The kitchen was inspected. There is sufficient perishable and non-perishable food. Cooking knifes are locked and inaccessible to residents. LPAs observed that kitchen roll out drawers are broken and layer of grease on the oven door of the stove . LPAs toured residents rooms. All bedrooms were furnished with required furniture. The bathrooms were observed to be clean, operational. The hot water temperature was tested between 124.5 degrees F which is over the Title 22 regulation.