Facility Evaluation Report

Licensing Program Analyst (LPA) Lorena Casillas arrived at 09:45 am for an unannounced one (1) year Required visit for this facility. LPA met with the Administrator Wanda Smith. Entrance interview conducted.

LPA and the Administrator conducted a tour of the facility at 10:00 am. The following was observed:

Infection control: The facility has a Mitigation Plan approved on 03/30/2021. Proper signs were observed inside along the hallway and in the restrooms.

Common Areas: LPA toured all common areas of the facility. LPA observed common areas to be clean and furniture to be in good repair. The facility maintains a comfortable temperature at 80 degrees F. LPA observed fire extinguisher to be full and last serviced on 9/1/23. At 10:20 am, LPA tested and verified all the carbon monoxide and smoke detectors were operational.

Kitchen: At 10:15 am LPA toured the kitchen area and observed enough supplies of non-perishables for seven (7) days and perishables for two (2) days at the facility. Snacks and beverages are available for residents in the facility when they want. Frozen foods are wrapped and stored appropriately. Food storage and preparation areas are clean and inaccessible to pests.

Resident room s: LPA observed rooms to have appropriate bedding sheets, pillowcase, mattresses, and blankets which are in good condition. There is at least one chair, nightstand and sufficient lighting for each resident. LPA tested the door alarm system, and it was observed to be operational.