Facility Evaluation Report

On 02/13/24 at 8:50 AM, Licensing Program Analyst (LPA) Gina Saucedo, arrived to conduct an unannounced, annual inspection at the facility. Upon arrival, LPA Saucedo met with Administrator Clara Emnas and disclosed the purpose of the visit.

LPA asked for the census, resident, and staff rosters.

A physical tour was conducted at 10:05 AM and observed the following:

The Kitchen area was toured, and LPA observed there to be sufficient seven (7) day supply of non-perishable foods and perishable food for all residents. The kitchen area was clean at the time of the tour. The fire extinguisher is located against the wall on your right-hand side, next to the refrigerator. It is fully charged. There is a telephone line on one of the counters in the kitchen. There is extra, food in the kitchen pantries. The sharps are locked and inaccessible to the residents in one of the lower cabinets. The medication and first aid are locked and inaccessible on your right-hand side of the kitchen where there is a hallway by the entrance of a resident’s room. On top of the medication cabinet are binders: Disaster Emergency Manual, Infection Control and Fire Drill. There is also a carbon monoxide against the wall. The garage can be accessed from this area. The garage is attached to the house.

The garage is where the toxins/chemicals are kept. There is one washer and dryer. There is also a partition for staff to rest/sleep.