Facility Evaluation Report

Licensing Program Analysts (LPA's) Tyler Reyes and Valeria Maldonado conducted an unannounced required annual inspection using the CARE tools. LPAs met with Administrator Jeene De Castro and explained the reason of the visit.

The facility is an Residential Facility for the Elderly (RCFE) licensed to serve (150) non-ambulatory residents, ages 60 years and above. Hospice waiver was approved for for (27) residents. Administrator Jeene has an RCFE Certificate issued for 6/11/23 with an expiration date of 6/10/25 .

LPA and Administrator Jeene toured the facility and the following was observed: the 2 outside patios are clean and there are shaded seating areas for the residents. Passageways and exits are free of obstruction. The water temperature was tested in the 3 residents’ bathrooms and 1 common bathroom and measured between at 112 and 118 degrees F, which is within the required 105 - 120 degrees F. The bathrooms are clean and have the required grab bars in the shower and near the toilet for non-ambulatory residents. Showers also have the required non-skid mats. Resident bedrooms have the required furniture such as bed frames, dressers, lamps and chairs. Bedrooms also have enough closet space. Resident beds have the required linen and the linen is in good condition. Smoke detectors were observed in each room and throughout the facility and are properly operating. There are multiple carbon monoxide detectors throughout the facility and are properly operating. There are multiple fire extinguishers throughout the facility, which are fully charged. Kitchen appliances are clean and were operating at the time of the visit. Sharps are kept in the kitchen and are inaccessible to the residents. Cleaning supplies and toxins are kept in a locked storage. Sufficient supply of 2 days perishable & 7 days non-perishable foods was observed in the kitchen. First Aid kit was fully stocked with current manual and it is kept in the medication room. Residents medication are centrally stored in the medication room. Residents and staff files are centrally stored in the administrator’s office.