Facility Evaluation Report

Licensing Program Analyst (LPA) Shira Stamps met with Administrator Jojomaureli Salamero for an unannounced one (1) year Required visit for this facility. LPA arrived at 10:08 am and was greeted by the Administrator. LPA informed the Administrator of the purpose of the visit. Entrance interview conducted.

Infection control: LPA reviewed the facility mitigation plan (approved on 06/02/21) to make sure the licensee was following current infection control recommendations. Upon arrival LPA was properly screened by the Administrator.

A tour of the physical plant was conducted with the Administrator at 10:21 am. The facility has five (5) bedrooms and two (2) bathrooms currently occupying five (5) residents. One (1) bedroom is designated for staff use only. Two residents were observed watching tv in the family, and the other residents were observed in their rooms.

At 10:21 am, LPA observed the living room and family room area to be neat and clean along with the dining room. LPA observed the locked medication cabinet located in the family room. The facility maintains a comfortable temperature at 76°F. The smoke detector and dual carbon monoxide detectors were tested and observed to be operational at 10:35 am. There is one (1) fire extinguisher located in the kitchen. The fire extinguisher was observed to be full and last serviced on 04/28/22.