Facility Evaluation Report

On 01/07/2024 at 10:35 am, Licensing Program Analyst (LPA) Lorena Casillas conducted an unannounced one (1) year required visit for this facility. LPA informed the Administrator the purpose of the visit.

Infection control: LPA reviewed facility mitigation plan (approved on 01/30/21) to make sure the facility was following current infection control recommendations.

A tour of the physical plant was conducted with the Administrator at 11:15 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. All clients were out in the community.

Food Inspection: LPA conducted a tour of the kitchen around 11:20 am and observed there to be sufficient stock of two-day perishable and seven-day non-perishable foods. Frozen foods are properly wrapped and stored. Food storage and preparation areas are clean and inaccessible to pests. LPA observed all knives and sharp objects being double locked and inaccessible to clients in care. LPA observed medications to be locked and inaccessible to clients.

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

Bathrooms: At 11:30 am LPA observed all bathrooms to have non-skid matts, grab bars, paper towels and wash your hands signs. Hot water was tested and measured within regulation at 117.7°F.

Laundry: LPA observed chemicals/hazardous items locked in the hallway closet, and under the kitchen sink. The laundry room was neat and clean.