Facility Evaluation Report

Licensing Program Analyst (LPA), Angela Panushkina, conducted a subsequent Annual Visit to complete the report. LPA met with the Executive Director, Amanda Monroy, and explained the reason for the visit.

During the physical plant tour, conducted on 11/26/24, LPAs observed the following:

Upon entry into the room #207, LPAs observed the Resident #10 (R10) in a hospital bed which was placed against the wall and the bed was blocking the passageway.

Bathrooms: At 11:53am LPAs observed six (6) loose pills placed on a top of the vitamin bottle in room #159. During the interview with the resident, LPAs were informed that the pills were placed on a bottle as a reminder to take them later. LPA requested all six (6) pills to be properly discarded. LPAs also observed filthy/dirty bathrooms in room #207, #159, #175 and #401. Appropriate grab bar and non-skid mat were also observed. The hot water temperature measured between 108.6-133.4°F. Lastly, LPAs observed walls in various rooms, bathrooms and hallways to be poorly scraped and the paint around the door jamb is peeling away, door knobs are loose/damaged and t rash cans were missing the fitted lids.

Outside areas: While walking towards the West Wing area, LPAs observed that an exit, double doors were open and a ceramic, chipped roof tiles were placed under the door to prevent them from closing. LPAs also observed seventeen (17) extra ceramic roof tiles placed on the grass, of which one (1) tile was broken. Moreover, the metal gutter on a second floor, by the room #287 was twisted/loose/falling apart. In addition, at 12:08pm, LPAs observed piece of molded carpet outside, under the balcony (room #182).