Facility Evaluation Report

Licensing Program Analyst (LPA) Jose Tan initially met with the receptionist Bertha Barbes who called the Executive Director and explained the reason for the visit. Ms. Gotto stated that the files were locked so she would be at the facility. Ms. Gotto arrived at around 11:16 AM.

A tour of the physical plant was conducted at around 10:41 AM with the Marketing Director and eventually the Executive Director and the following was noted:

The facility is fire cleared for one hundred twenty (120) non-ambulatory of which twenty (20) may be bedridden. The facility is currently occupying a total of seventy-five (75) residents, ten (10) of which are in hospice care.

There is only one main entrance being utilized at the facility with sign-in sheets. Each residents' room has a full bathroom. LPA inspected random rooms in Memory Care and Assisted Living both first and second floor. Room 3E of Memory Care has toxins under the sink and Room 7E of Memory Care has no hot water on its sink. All rooms were observed to be adequately furnished with appropriate lighting system and enough clean linen available. Hallways are well lit. Residents have enough personal hygiene products provided by the licensee. The bathroom was checked for cleanliness and proper operation. The hot water temperature was measured at a range of 108.9°F to 118.9°F. Towels and washcloths are not shared.

The facility has outdoor furniture with a covered shaded area for residents and visitors. The facility does not have a swimming pool/body of water. Laundry detergents, cleaning agents and other toxins were observed to be locked in the parking area. (continued on LIC 809-C)