Facility Evaluation Report

Licensing Program Analysts (LPA’s) Spaeth, Avetisyan and Stamps conducted an unannounced visit to the facility. Upon arrival LPA’s observed the front door did not contain the COVID signage. LPAs were greeted by Ringo Torres Caregiver at 11:19 am. Upon entering the facility, LPA’s observed the sign in station which contained thermometer, hand sanitizer and a sign in sheet. LPA Spaeth reminded the caregiver the requirement to take LPAs temperature. All LPAs temperatures were then taken and recorded. Caregiver called the licensee who arrived at the facility approximately 11:55 am. The initial purpose of the visit was to determine if Resident 1 (R1) who was named in an unlicensed care complaint was living at this facility, however during the visit LPA’s observed various deficiencies and determined that a required Annual Visit would be conducted as well.

Approximately 11:25 am LPAs conducted a tour of the facility and observed a living room/dining room combination. As well as a kitchen/family room combination. The facility has four rooms designated for resident use and 2 residents residing at the facility. All resident rooms contained the required furnishing and proper linens. At 12:00 pm, LPAs observed full bed rails in Room #4 and 1/2 bed rails in Room #1. During the tour LPA’s observed that the master bathroom did not have the "wash your hands" sign not posted. LPA’s observed slip resistant mat and hand bars near the toilet and shower. LPA Spaeth informed staff that a "wash your hands" sign needs to be posted in the bathroom.

The facility has a separate locked laundry room which contained washer and dryer, cleaning supplies, and laundry detergent.

While conducting a tour of the kitchen LPA” s observed knives and medication properly secured. The refrigerator was observed to be dirty at which time LPA Spaeth informed the