Facility Evaluation Report

Licensing Program Analyst (LPA) Alberto Lopez conducted an unannounced Required - 1 year visit using the full Care Compliance and Regulatory Enforcement (CARE) Tools. The purpose of the visit was explained to the Administrator Jared Green and Maria Roleda, Wellness Director, assisted LPA with the visit.

On today's date, LPA inspected the following domains

1.Infection Control: Infection control practices and Personal Protective Equipment (PPEs) were observed. Facility still practices the infection control with hand washing. The facility has submitted a COVID-19 Mitigation Plan and Infection Control Plan.

2. Operational Requirements : The current plan of operation is completed. The facility has a Dementia Waiver in place. A Hospice Waiver for 20 residents is approved. A fire clearance for 85 non-ambulatory residents, of which 9 may be bedridden, is in place. Liability Insurance in the amount of at least ($1,000,000) per occurrence and total amount of aggregate ($3,000,000) is in place.

3. Physical Plant/Environmental Safety: The facility consists of a 5-floor building. The first through fourth floors consist of residents rooms and the fifth floor is the dining area. The common areas are located on the first and third floors. LPA inspected random rooms and are clean and have required furnishing. Bathrooms were clean, toilets and water faucets worked properly and were properly supplied, have functional fixtures, and have secure grab bars. Emergency pull cords were observed in every resident room.