Facility Evaluation Report

Licensing Program Analyst (LPA) Gina Saucedo conducted an unannounced Annual visit to this facility at 09:05am. LPA Saucedo was greeted by Staff (S1) . The purpose of the visit was discussed. S1 called the administrator upon my arrival. The administrator arrived 9:45am while waiting, the resident and staff rosters were obtained. The census was also provided.

LPA conducted a tour of the physical plant at 10:15 am. By the entrance of the facility there is signs displaying hand washing, coughing etiquette, physical distancing, Ombudsman.

Kitchen area was observed to be clean. LPA reviewed the food service area in the refrigerator, food storage and supply (perishable and nonperishable foods) were sufficient for several days. The kitchen food supply was observed and sufficient for the three (3) residents currently residing there. There is an excess of perishables in several of the cabinets with several canned goods. Sharps observed to be stored, locked, and secured in one of the cabinets next to the dishwasher, inaccessible to clients. The fire extinguisher is located in the kitchen area and is fully charged, reading June 2024.

Temperature of facility wall thermostat is observed and set to 69 degrees Fahrenheit.

Garage/Backyard area The garage is attached to the house and can be entered from the second hallway next to the third (3) bathroom. There is a supply of extra paper towels, water supply, PPE’s, wheelchairs, incontinence and wipes. There is an additional refrigerator with extra food. The laundry area is located in the garage with a washer and dryer. In the backyard, There is a dining area that has a covered patio which has sufficient seating for the three residents. There is a pool located in the backyard that is fenced and locked inaccessible to the residents.