Facility Evaluation Report

Licensing Program Analyst (LPA) Elsie Campos arrived unannounced to conduct a required annual visit. This annual had a specific emphasis on infection control practices. The LPA met with Administrator Alexsandra Vartapetova and explained the reason for the visit. The LPA toured the physical plant to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations.

KITCHEN: Kitchen appliances were in operable condition. The facility has a sufficient supply of perishable and non-perishable food. Kitchen drawer containing knives was unlocked with no accessible key at 10:00 a.m. Medications were observed unlocked in various kitchen drawers and cabinets at 10:03 a.m. Laundry room is located through the kitchen with access to a bathroom where cleaning supplies are kept. Laundry detergent, Clorox bleach, and cleaning supplies were observed unlocked at 10:05 a.m. All items were appropriately secured by the end of the visit. BEDROOMS: Bedrooms had appropriate furnishings, clean linens, and sufficient lighting. RESTROOMS: Resident restrooms were clean and sanitary with grab bars and non-skid surfaces. Administrator was reminded to post hand hygiene signs in all restrooms. COMMON SPACES: The facility maintained a temperature of 76 degrees. Living room and dining furniture were observed to be in good condition. Required postings were observed at the entrance. The LPA toured the outside area of the facility. The LPA observed appropriate outdoor furniture, with a covered shaded area for residents. There is a swimming pool on the premises, which the LPA observed to be unlocked at 10:28 a.m. The pool was locked upon observation. At 10:30 a.m., the LPA observed multiple screen doors in need of repairs, an obstructed outdoor walkway with an old recliner and accessible gardening shears located on the walkway wall. The recliner was appropriately removed, and the gardening shears were appropriately secured upon observation.