Facility Evaluation Report

Licensing Program Analyst (LPA) Trevor Byrne arrived at the facility unannounced to conduct a continuation of the required annual visit at 09:47 AM. LPA met with facility staff who contacted the facility Administrator Christina Gomez. The Administrator arrived to the facility at 09:55 AM. Entrance interview was conducted and the reason for the visit was explained. The following was observed:

RECORD REVIEW: Record review began at 10:00 AM. Resident and staff records were reviewed for documents including, but not limited to: health screening, TB test, physician's report, needs and service appraisal, consent forms, and personal rights. Four (4) resident files were reviewed. All resident files contained all required documentation and signatures. Five (5) staff files were observed. All staff files contained all required documentation and trainings. No deficiencies were observed during record review.

MEDICATION REVIEW: Medication review began at 12:10 PM. Medications for five (5) residents were observed. All medications were stored properly and were appropriately documented on their respective centrally stored medication and destruction record sheets. No deficiencies were observed during medication review.

INTERVIEWS: LPA interviewed four (4) residents. The residents interviewed stated that the staff treat them well and are attentive to their needs. No residents interviewed had concerns with the facility. LPA interviewed four (4) staff members. The staff members interviewed were knowledgeable on the resident's rights, the forms of abuse, and the appropriate reporting procedures for suspected abuse.

No deficiencies were observed during today’s inspection. Exit interview conducted and copy of the report was issued.