Facility Evaluation Report

At 12:00 pm Licensing Program Analysts (LPAs) Angela Panushkina, Shira Staps and Licensing Program Manager (LPM) Nichelle Gillyard conducted an unannounced annual inspection at the facility mentioned above. Team was greeted by staff who granted access to the facility. LPA team met with Administrator Erwin Estrella and a physical tour was conducted at 1:05pm and team observed the following:

Infection control: LPA reviewed the facility mitigation plan (approved on 02/14/2021) to make sure licensee was following current infection control recommendations. Upon arrival, staff took LPAs temperatures and was asked to sign-in the visitors’ log and were asked all infection control questions. 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. Team observed all trash can throughout the facility have fitted lids and protected from cross contamination.

Kitchen: At approximately, 1:10pm LPA team toured the kitchen area and observed enough supplies of staple non-perishable for minimum 1 week and perishable for 2 days at the facility. Food storage and preparation areas are clean and inaccessible to pests. All knives and sharp objects are locked and inaccessible to residents in care. During inspection, LPAs reminded the Administrator that the locking magnets shall maintain with the staff at all time. At 1:15pm LPAs observed the burner in the middle and right side is not functional on the stove. LPA team reminded the Administrator to clean it and make it functional.

Smoke detectors/carbon monoxide . Dual smoke and carbon monoxide detectors were located throughout the facility, and at 1:50pm they were tested and observed to be operational