Facility Evaluation Report

At 9:30 a.m. Licensing Program Analyst (LPA) Melissa Ruiz conducted an unannounced annual inspection at the facility mentioned above. LPA was greeted by a staff member, and later met Administrator, who granted access to the facility and LPA explained the reason for the visit.

At 10:30 a.m., LPA conducted a tour of the facility and the following was observed:

Infection control: The facility had submitted and approved Mitigation Plan and Infection Control Plan. Proper signage was observed inside along the hallway and in the restrooms. Hand sanitizer was also observed. Administrator stated they have sufficient PPE supplies for residents and staff.

Kitchen: LPA toured the kitchen area and observed enough supplies of staple non-perishable for minimum 1 week and perishable for 2 days at the facility. All knives and sharps are observed to be locked in a kitchen drawer and inaccessible to residents. There is a fire extinguisher in the kitchen, and it was last purchased on 3/30/2023.

Medications: At 11:00 a.m., LPA observed medications are centrally stored and locked in the kitchen pantry and are inaccessible to residents in care. LPA also observed a First Aid Kit complete with the required items as per Title 22 Regulations.

Bedrooms: There are five (5) bedrooms designated for residents use and have sufficient lighting. All bedrooms are properly furnished, clean and have appropriate bedding and linens. Auditory alarms were tested and observed to be operational.