Facility Evaluation Report

Licensing Program Analysts (LPA) Shira Stamps met with Administrator Valeree Zepeda for an unannounced one (1) year Required visit for this facility.

Infection control: LPA reviewed facility mitigation plan (approved on 02/13/21) to make sure licensee was following current infection control recommendations. Upon arrival LPA was screened by the caregiver and asked all infection control questions. LPA was signed-in and sanitizer was available.

LPA arrived at 9:55am and was greeted by caregiver. One (1) client was observed i to be in their room resting. The Administrator arrived at 10:10 am. LPA informed the Administrator of the purpose of the visit.

A tour of the physical plant was conducted with the Administrator at 10:20am. The facility has four (4) bedrooms and two (2) bathrooms currently occupying four (4) clients. The facility has awake staff at night. The facility is Fire Cleared for four (4) ambulatory.

LPA observed rooms to have the appropriate bedding. There is a night stand and sufficient lighting for each client.

At 10:26 am LPA observed all bathrooms to have grab bars and the appropriated wash your hands signs posted. Hot water was tested and measured within regulation at 116.7 degrees F.