Facility Evaluation Report

On 3/30/2022, Licensing Program Analyst (LPA) Lourdes Montoya conducted an unannounced annual required visit with a primary focus on Infection Control measures using the new CARE Inspection Tool. LPA called and spoke with Administrator Heather Argueta who verified that the facility is free of Covid-19. Upon arriving at the facility, LPA met with Resident Coordinator (RC) Corina Kahl, who granted access and allowed LPA to enter the facility to conduct an annual inspection. Administrator Heather Argueta later arrived and assisted with the visit.

The facility is licensed to serve up to 155 clients 60 years or older, 5 of which may be bedridden, and 30 of which may be non-ambulatory and this facility has an approved hospice waiver for 12 terminally ill residents. The current staff census was 61 and the resident census was 70 at the time of visit, The facility handles residents’ cash resources. Facility Annual Fees are current during today’s visit. The administrator’s certificate expires on 11/25/2023.

During the visit, LPA toured the facility with RC Corina Kahl. LPA randomly inspected 13 resident bedrooms, the kitchen, 2 dining rooms, living room, pantry, chapel, library, medication room, TV/Entertainment room, indoor activity areas, and outdoor patios. LPA observed the facility to be sanitary and appropriately furnished at the time of visit. There are working lights or lamps in each room at the time of visit. There are grab bars for each toilet and shower used by residents. Showers have non-skid mats.

LPA tested the pull emergency cord notification system of the resident in bedroom # 123 and observed the caregiver responded within 2 minutes and turned off the signal.