Facility Evaluation Report

On 01/11/23 Licensing Program Analyst (LPA) Joscelyn Martinez arrived at the facility to conduct an unannounced complaint investigation visit. During the visit LPA met with administrator and the purpose of the visit was explained. LPA and administrator conducted a physical room tour of R1's room. During the physical tour, LPA observed a lunch bag in the corner of the room. LPA observed gnats flying around the lunch bag and upon further observation LPA observed spoiled liquid and food inside the lunch bag. LPA had S2 remove the lunch bag out of the room immediately. Further inspection of the room revealed more gnats around the walls and ceiling areas. Interview with staff revealed that R1 has been in the hospital as of December 23, 2022 and staff did not check the unzip lunch bag to see if R1 had left any food or liquid inside that could spoil. LPA informed administrator and S2 the pest needed to be removed and cleaned due to the room being a shared room. Based on observation and interviews deficiency has been cited on 809-D.

Exit interview conducted. Report signed and delivered. Appeal rights delivered.