Facility Evaluation Report

On 2/17/23, Licensing Program Manager (LPM) Ulysses Coronel and Licensing Program Analyst (LPA) Antonine Richard conducted an unannounced Annual required visit with a primary focus on infection control measures. The team was met by Jocelyn Letigio,staff. The purpose of today's was explained. The facility is licensed to serve 6 Elderly residents Age 60 and Above. Fire Cleared for (4) Bedridden and two(2) Non-Ambulatory. Approved to accept or retain four (4) residents on Hospice.

The facility is a two story structure located in a residential neighborhood. It consists of the following: five (5) resident bedrooms and two (2) bathrooms, one (1) staff bedroom, a living area, dining area, kitchen, family room, and outside patio area on the first floor; two (2) bedrooms and one (1) bathroom on the second floor.

LPA and staff Jocelyn Letigio toured the inside and outside of the physical plant. There were no bodies of water on the premises. All rooms were inspected. Beds and bedding supplies were in good condition, adequate lighting was provided, storage for client personal belongings was observed. Bed linens, comforters, and bath towels were adequately stocked at the time of visit. Bathrooms were found to be within Title 22 regulations and were clean and operational. The hot water temperature was 141.3F .

LPA observed the facility to be sanitary and appropriately furnished at the time of visit. Storage areas for personal hygiene, cleaning supplies, and toxins were stored and not accessible to clients. The kitchen was inspected, two (2) carbon monoxide units are operable. LPA observed a Scissor in outside cabinet was accessible.

During the visit, (LPA) observed the facility infection control practices. observed screening protocols for visitors, staff and residents, sanitizing stations (located in area in the living room. LPA observed staff were wearing face coverings, and isolation required postings throughout the facility. LPA observed the facility has 30 days supply of Personal Protective Equipment (PPE).