Facility Evaluation Report

Licensing Program Analyst (LPA) Daniel Konishi conducted an unannounced Required- 1 year visit. LPA met with the Executive Director, Rosario Munoz and LPA explained the purpose of the visit. The facility is licensed to serve for a capacity of 41 residents (34) ambulatory, maximum of (7) non-ambulatory restricted to Braemar cottage. Facility served elderly ages 60 and above and may retain (6) hospice residents.

LPA utilized the Compliance and Regulatory Enforcement (CARE) tools for the visit today and observed the following:

Infection Control: Infection Control Plan is in place. Infection control practices and Personal Protective Equipment (PPEs) were maintained. Bathrooms have hygiene items such as paper towel, hand soap and toilet paper. Staff are adhering to infection control requirements.

Operational Requirements: The facility has an approved fire clearance; there is a plan of operation with required Infection Control Plan. LPA observed valid Liability insurance and valid Surety Bond in place.

Physical Plant/Environment Safety: There are 6 different cottages (Lambert, Ramona, Foskett, Shafer, Armstrong, Braemar, and Jameson) and each contains resident rooms, living room, small dining room, kitchen, and a laundry room. The main dining room and kitchen are located at the Armstrong building. LPA randomly selected resident rooms to inspect. They are clean and have the required furnishings. LPA did not observe a signal system in place. Extra linens, towels, and blankets are stored in the Braemar’s Laundry room. There are no items obstructing the walkways. The front grounds of the facility are well landscaped and have a leveled walkway to the entrance. [Continue LIC809-C]