Facility Evaluation Report

Licensing Program Analyst (LPA) Mary Flores conducted an unannounced continuous annual visit using the CARE inspection tool. LPA met with Virginia Garcia Administrator and explained the reason for the visit.

On 2/24/25 LPA Flores conducted an annual visit and completed the following domains: Physical Plant/Environmental Safety : see report dated 2/24/25 for details.

Food Service : sufficient food supplies were observed for at least 2 days of perishables and 7 days of non-perishables. Special diets are posted in the kitchen.

Incidental Medical and Dental : medication was reviewed for 10 residents.

During today visit LPA Flores complete the following domains: reviewed 10 resident and 10 staff files.

Infection Control : Facility meets infection control procedures and the plan was reviewed. Staff have a TB test on file.

Operational Requirements: LPA reviewed liability insurance which is current and meets all requirements.

Staffing: Per LIC 500 there is sufficient staffing, there are 5 staff during the night shift and a front desk person. Staff have CPR/First Aid on file.

Personnel Records/Staff Training: Ten staff files were reviewed with the required documentation. Initial and yearly 20 hours of training were observed for each staff. Administrator certificate was observed for Virginia Garcia #7006263740 exp. date: 10/14/26.

Resident Rights/Information: Resident rights, PUB 475, Ombudsman poster were posted in common areas of the facility.

Planned Activities: Activities calendar is posted in the activity area. An activity director is on duty and activities for persons with dementia were observed.