Facility Evaluation Report

Licensing Program Analyst (LPA) Cynthia Chan conducted a subsequent visit to continue the annual inspection. LPA arrived unannounced and met with licensee, Orlando Valera. The initial inspection began on 8/27/24.

During the visit today, LPA inspected the remainder of the domains.

Staffing : The administrator's (Orlando Valera) certificate expired on 8/21/24. The administrator had submitted the renewal via mail and is pending approval. Staff employed are over the age of 18 and are fingerprint cleared.

Personnel Records-Training : LPA reviewed the Administrator and 2 other staff files. There are sufficient annual training on file. CPR & First Aid certificates are current for all 3 staff.

Resident Records-Incident Reports: LPA reviewed 6 resident files and they have the following documents in their files - Admission Agreements, Identification & Emergency Information, Physician's Report, Resident appraisal, and Resident rights.

Resident Rights-Information: The Local Ombudsman and Residents personal rights information are posted at the facility.

Planned Activities: Facility has sufficient space to accommodate indoor and outdoor activities. There are sufficient supplies and equipment to meet resident's physical/mental capability.

Incidental Medical & Dental: The medications are centrally stored in their original containers. LPA reviewed 6 residents' medications and no discrepancies were found.

Disaster Preparedness: The facility has an Emergency Disaster Plan with contact numbers and procedures. Residents with Special Health Needs: The facility accepts and retains residents with dementia and/or hospice. There are currently 2 residents in hospice.

No deficiencies issued today. An exit interview was held and a copy of this report was given to the licensee.