Facility Evaluation Report

On 2/22/22 at 9:50am, Licensing Program Analyst (LPA) Shira Stamps conducted an unannounced one (1) year required visit for this facility. LPA informed the Administrator over the phone of the purpose of the visit. The Administrator was currently in training and unable to go to the facility. She designated staff member Marybeth Chavez to sign the report.

Infection control: LPA reviewed facility mitigation plan (approved on 01/30/21) to make sure the Administrator was following current infection control recommendations. Upon arrival LPA was screened by the caregiver and sanitizer was available.

A tour of the physical plant was conducted with the caregiver at 10:00 am. The facility has five (5) bedrooms, with one (1) room designated for live in staff, and two (2) bathrooms currently occupying four (4) clients.

LPA conducted a tour of the kitchen around 10:05 am and 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 are care clean and inaccessible to pests. LPA observed all knives and sharp object being double locked and inaccessible to clients in care. At 10:07 am LPA observed medications to be locked and inaccessible to clients.

LPA observed all rooms to have the appropriate bedding. There is a night stand and sufficient lighting for each bedroom.