Facility Evaluation Report

On 03/16/2022 Licensing Program Analyst (LPAs) Joscelyn Martinez, Melissa Ruiz and Long-Term Care Ombudsman Velvet Tabb arrived at the facility mentioned above for an unannounced annual continuation. Upon arrival LPAs and Ombudsman were greeted by staff Maria Bangash. This continued annual is focused on physical plant and health and safety.

A physical tour was conducted at 9:45 a.m and observed the following: Infection control: Covid-19 infection control signage were observed outside of the facility. Proper signage was also observed inside in the common areas. Upon entrance, staff took LPAs’ temperature and was asked to sign-in the visitor’s log. Food Inspection/Kitchen: LPAs observed there to be sufficient stock of one-week non-perishable foods and two-day perishable foods. Food storage and preparation areas were dirty and need immediate cleaning. All three (3) refrigerators in the facility were observed to have food stains, crumbs, and old liquid spills from frozen meats. Kitchen cabinets are in disrepair. LPAs observer water damage underneath the sink. Garbage cans did not have a tight-fitting lid in the kitchen. Sharps and some medications were centrally stored in a locked area. LPAs observed two plastic containers of medication accessible to residents inside the kitchen cabinet. Smoke detectors/carbon monoxide are located throughout the facility and are hardwired. Fire alarm and carbon monoxide alarm were tested at 12:07 p.m and appear to be functional. Fire extinguishers was observed in the facility with a purchase date of 02/22/22.