Facility Evaluation Report

Licensing Program Analyst (LPA) Shira Stamps met with Administrator Rita Morales for an unannounced one (1) year Required visit for this facility.

LPA arrived at 10:35 am and was greeted by caregiver Adelaida Salazar. All residents were observed to be in their rooms sleeping, watching TV and/or resting. The Administrator arrived at 11:00 am and informed her of the purpose of the visit.

Infection control: LPA reviewed facility mitigation plan (approved on 03/06/21) to make sure licensee was following current infection control recommendations. Upon arrival LPA was not screened by the caregiver LPA was asked to sign-in and sanitizer was available.

A tour of the physical plant was conducted with Administrator at 11:12 am. The facility has four (4) bedrooms and two (2) bathrooms currently occupying six (6) residents. facility is Fire Cleared for six (6) non-ambulatory and has a hospice waiver for four (4).

LPA conducted tour at the kitchen around 11:15 am observed there to be sufficient stock of two-day perishables and seven-day non-perishables foods. Frozen foods are properly wrapped and stored appropriately. Food storage and preparation areas care clean and inaccessible to pests. LPA observed all knives and sharp object being locked and inaccessible to residents in care. LPA observed medications accessible to residents in care in a kitchen cabinet. The Administrator immediately locked the medications in the hallway medications closet.