Facility Evaluation Report

Licensing Program Analyst (LPA) Ulysses Coronel conducted an unannounced Annual required visit with a primary focus on infection control measures. LPA was met by Maria Ofelia Aplicador , Administrator and the purpose of today’s visit was explained. The facility is licensed to serve elderly residents age 60 and above. Fire cleared for 5 non-ambulatory & 1 bedridden. Mentally alert residents only.

There are currently 5 residents in placement . The facility is a single-story structure located in a residential neighborhood. It consists of the following: Outdoor patio/deck, a living room, dining area, kitchen, laundry area, 4 bedrooms, 3 bathrooms, and a 2 car garage.

LPA and administrator toured the physical plant. There are no bodies of water or firearm/ammunition on the premises. All client rooms were checked. Beds and bedding were in good condition, adequate lighting provided, storage for client personal belongings was observed. Walls and floors were in good repair. Bed linens, comforters, and bath towels were adequately stocked at the time of visit. Bathrooms were found to be within Title 22 regulations and were clean and operational. The water temperature measured 117.3 F. A comfortable temperature is maintained in the facility. LPA observed the facility to be clean and appropriately furnished at the time of visit. Storage areas for personal hygiene, cleaning agents, toxins, and sharps were inaccessible to clients. The kitchen was inspected and there is enough non-perishable food available which is stored properly. Fire extinguisher was charged, smoke detectors and Carbon Monoxide were operable.

During the visit, LPA observed the facility infection control practices. LPA observed for screening protocols for visitors, staff and residents, sanitizing stations located in common areas and restrooms). LPA observed staff and residents were wearing face coverings, an isolation room and required postings throughout the facility. LPA observed the facility has a 30-day supply of Personal Protective Equipment (PPE).