Facility Evaluation Report

Licensing Program Analyst (LPA’s) Elsie Campos and Ashley Smith arrived at the facility unannounced to conduct a required Annual visit. This annual had a specific emphasis on infection control practices and procedures. The LPA's met with Staff at 1:15 p.m. and explained the reason for the visit. Administrator Izhak Illouz arrived at the facility shortly thereafter.

The LPA’s toured the physical plant areas inside and outside, with Administrator Izhak Illouz and assistant Arlene Ceballos at 1:30 p.m., to ensure there are no health and safety hazards.

BEDROOMS: There are (6) six bedrooms designated for resident use and (1) one bedroom designated for staff use. Bedroom #3 and Bedroom #4 have a direct exit to the exterior. The facility has furnished each room with clean linens, appropriate furnishings, and sufficient lighting for resident use. Accessible cleanser and over-the-counter topical medication was observed in Bedroom #6. Oxygen was observed in Bedroom #2, yet the LPA’s did not observe the appropriate ‘No Smoking – Oxygen in Use’ sign. At the time of observation staff room was unlocked. The LPA’s observed prescription medication accessible inside the staff room. The LPA's advised staff to keep medication and other personal care items for staff locked and inaccessible.

RESTROOMS: Resident restrooms are clean, sanitary, and in operating condition with grab bars and non-skid surfaces. The LPA's observed sufficient amounts of soap and paper products. The LPA’s did not observe signs in the bathroom attached to bedroom #2 promoting good hand hygiene. The LPA’s advised the Administrator to ensure that bathrooms displayed appropriate hand-washing signs. Restroom hot water measured between 110.7 and 115.6 degrees Fahrenheit between 2:48 p.m. and 2:51 p.m.

KITCHEN: Kitchen appliances were in operable condition. The facility has a sufficient supply of perishable and non-perishable food. Knives, medications and chemicals were locked and inaccessible.