Facility Evaluation Report

Licensing Program Analyst (LPA) Luis Mora conducted an unannounced annual visit at the facility using the CARE Tool. LPA Mora met with Antonio Gaspi (Caregiver) and explained the reason for the visit. The Administrator Elba Rodriguez arrived towards the end of the visit. The facility is licensed to serve 6 non-ambulatory residents only over the age of 60 and approved for 3 hospice residents. The facility is operating within the scope of its license.

A tour of the single-story facility included: 4 resident bedrooms, 2 bathrooms, living room, kitchen, open area, backyard, and attached garage. LPA and Antonio Gaspi toured the facility and the following was observed: sufficient supply of 2 days perishable & 7 days non-perishable foods was observed in the kitchen and garage. Auditory devices were seen on all exit doors which are required for dementia residents and were operating at the time of the visit. The water temperature was tested in all 2 bathrooms and measured at 118.3 degrees F and 113 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 non-skid materials. 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. There is extra clean linen and towels in hallway closet. Smoke detectors were observed in each room and throughout the facility and are properly operating. A carbon monoxide was observed in the kitchen and it is properly operating. Fire extinguishers were observed in the kitchen, living room, and hallway which are fully charged. Kitchen appliances are clean and were operating at the time of the visit. Sharps and cleaning supplies are kept locked in a kitchen closet. First Aid kit was fully stocked with current manual and it is kept in the medication cabinet. The front and backyard are well maintained. There is a shaded seating area for the residents located in the backyard. There are no bodies of water at the facility. Passageways and exits are free of obstruction.