Facility Evaluation Report

Licensing Program Analyst (LPA) Kimberly Ramirez conducted the required annual inspection. LPA Ramirez identified herself and was greeted by Rosalina Gonzalez. Care Manager Victora Serna arrived within the hour. This facility is licensed to serve six (6) residents over the age of 59, of which four (4) may be non-ambulatory in bedrooms# 2,3,4,5; and (1) may be bedridden in bedroom#3. This facility may retain no more than six (6) hospice residents. There was one (1) resident under hospice care during the time of inspection. LPA Ramirez observed three (3) staff providing care and supervision during inspection.

LPA utilized the Compliance and Regulatory Enforcement (CARE) tools for the visit today and observed the following:

Physical Plant and Environment safety: Disinfectants, cleaning solutions, poisons and other items that could pose a danger if readily available to residents, were observed to be inaccessible to residents. LPA Ramirez observed carbon monoxide detectors in the living room and smoke alarms in hallways. LPA Ramirez inspected five (5) resident rooms. All resident bedrooms contained the required furniture, linens and lighting. LPA Ramirez observed postings encouraging proper hand washing etiquette in restrooms. LPA Ramirez observed grab bars near toilets. Water temperatures in all grooming and bathing areas were measured to be with 105 – 120 degrees F.