Facility Evaluation Report

Licensing Program Analyst (LPA) Lorena Casillas met with administrator Aldrin Perez for an unannounced one (1) year Required visit for this facility.

LPA arrived at 09:20 am and was greeted and granted access by Administrator. There are five (5) residents in the facility. Three (3) residents are bedridden, two (2) of which is in hospice care. Two (2) residents are ambulatory. LPA observed all residents to be in their rooms watching TV or sleeping.

Infection control: The facility has an Infection Control Plan approved on 03/30/2021. Proper signage was observed inside along the hallway and in the restrooms.

Kitchen: LPA observed the kitchen to be clean and clear of clutter. All appliances were operative. Cleaning solutions are locked under the sink. Knives are kept locked in a kitchen cabinet inaccessible to residents. LPA observed smoke alarms throughout the facility that are interconnected. At 11:30 a.m. all smoke alarms were tested and functioned properly. LPA observed one carbon monoxide detector and it appeared to be functioning.

Dining / Living Area: The dining and living area were well lit, clean, and clear of clutter. Furniture appeared clean and in good repair. A fireplace located in the living area is covered and not in use. LPA observed the thermostat at a comfortable temperature of 75°F. There is a fully charged fire extinguisher located near the main entrance that was last purchased on 11/21/2024.