Facility Evaluation Report

Licensing Program Analyst (LPA), Martha Guzman Chavez conducted an unannounced visit to Applegate @ Sirius to conduct a Required 1-Year Annual Inspection at 10:15 a.m. The last annual conducted at this facility was on 4/03/2019. This annual has a specific emphasis on infection control practices and procedures. The LPA was greeted and scanned at the door by staff, Emma Carmona. The Administrator, Irma Carmona arrived shortly after and was explained the reason for the visit. Entrance interview.

At 10:50 a.m., the LPA began the physical plant tour with the Administrator of the common areas, kitchen area, resident bedrooms, bathrooms, and outdoor area to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations.

KITCHEN: The LPA observed the kitchen/dining area to be clean and k itchen appliances were in operable condition. The facility has a sufficient supply of perishable and non-perishable food. The LPA observed the kitchen refrigerator and pantry to be fully stocked at the time of visit. Knives and sharps are locked in a drawer inaccessible to residents.

BEDROOMS: The LPA observed the resident rooms, which were furnished appropriately with clean linens, furnishings, and sufficient lighting.

RESTROOMS: Resident restrooms are clean and sanitary and in operating condition with grab bars and non-skid surfaces. Restrooms are sufficiently stocked with hand liquid soap and paper towels. The LPA observed six (6) bathrooms for resident use. Each bedroom has their own private bathroom. The hot water temperature was measured and in compliance at the time of visit between 105.8- and 109.4-degrees Fahrenheit.