Facility Evaluation Report

On 11/02/22 Licensing Program Analyst (LPA) Joscelyn Martinez conducted an unannounced annual inspection. Upon arrival LPA met with staff and the purpose of the visit was explained. LPA contacted administrator and explained the purpose of today's visit.

A physical plant tour was conducted at 10:10 a.m and the following was observed:

Infection Control: Covid-19 infection control signage were observed outside of the facility. Proper signage was also observed inside in the common areas. Staff screened LPA for covid symptoms and took LPA’s temperature. Facility has sufficient PPE supplies for more than 30 days. Food Inspection/Kitchen: LPA observed there to be sufficient stock of one-week non-perishable foods and two-day perishable foods. Food storage and preparation areas are clean and inaccessible to pests. Garbage cans have tight fitting covers in the kitchen. Sharps are centrally stored in a locked area. Medication are centrally stored in a locked cabinet. Chemicals were observed under the kitchen area and were unlocked. Staff immediately removed the chemicals and stored them in the garage. Smoke detectors/carbon monoxide are located throughout the facility and are dual hardwired. Smoke detectors and carbon monoxide detectors were tested at approximately 10:31a.m. and appear to be functional. Fire extinguishers were observed throughout the facility and are charged. Common Areas: All common areas were observed to be clean and properly furnished. Facility’s temperature at the time of the visit was 72 F. Laundry area is located near the kitchen area and. Laundry chemicals are kept locked inside the cabinet. Resident Rooms: Facility has six (6) bedrooms of which one is designated for staff use. Facility has two live-in staff. All six (6) bedrooms were toured and appear to be clean and properly furnished. LPA observed additional bedding and linens sufficient for all of the residents. All rooms have adequate lighting and furniture. Bathrooms: There are three (3) bathrooms in the facility. LPA observed all bathrooms to be cleaned. The hot water was tested and measured 116.7 F, which is in regulation. Grab bars and non-skid were observed. Cleaning chemicals were observed under the bathroom sink adjacent to room number three (3). (Continue on 809-C)