Facility Evaluation Report

Licensing Program Analyst (LPA) Sandra Urena arrived at the facility unannounced to conduct a required annual inspection at 2:00p.m. This annual inspection had an emphasis on infection control practices and procedures. LPA Urena met with administrator Selva Banos at 2:25 p.m., introduced herself, and explained the reason for the visit.

The LPA and the administrator toured the physical plant areas inside and outside to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations.

KITCHEN: Kitchen appliances were in operable condition. The facility has a sufficient supply of perishable and non-perishable food. The dining room furniture was observed to be in good condition. The LPA observed a fire extinguisher in the kitchen area to be fully charged and operational. The LPA observed sharp objects and toxins to be locked away and inaccessible from residents.

BEDROOMS: The LPA observed three residents’ bedrooms, which were furnished appropriately with clean linens, furnishings and sufficient lighting. Bedrooms #1,2, and 3, were occupied with one resident per bedroom. RESTROOMS: Resident restrooms are clean and sanitary and in operating condition with grab bars and non-skid surfaces. Bathrooms are sufficiently stocked with hand liquid soap and paper towels.

COMMON SPACES: In the common areas, walls, flooring and furniture were checked for cleanliness and were in good condition. Required postings were observed in the entryway.

OUTDOOR AREA: The LPA observed the backyard to be free of clutter and debris, and observed outdoor patio/furniture for residents’ use.