Facility Evaluation Report

Licensing Program Analyst (LPA) Salia Walker arrived at the facility unannounced to conduct a required Annual visit at 08:21 a.m. This annual had a specific emphasis on infection control practices and procedures. The LPA met with Director Dion Gallarza at 08:34 a.m., and explained the reason for the visit.

The LPA toured the physical plant areas inside and outside, with Director Dion Gallarza at 08:42 a.m., to ensure there are no health and safety hazards.

Kitchen: The kitchen area appeared clean and sanitary. Kitchen appliances were in operable condition. The facility has a sufficient supply of perishable and non-perishable food. Food in the refrigerator/freezer were properly labeled. All knives and cleaning supplies were observed to be properly stored and locked at time of visit. At 09:02 a.m., hot water in kitchen measured 128.7 Fahrenheit. The LPA advised Director hot water temperature is to attain a temperature of not less than 105 degrees Fahrenheit (41 degree C) and not more than 120 degrees Fahrenheit (49 degree C). Director was advised this poses an immediate health and safety risk to residents in care.

Bedrooms: The LPA observed the resident bedrooms which were furnished with clean linens, appropriate furnishings, and sufficient lighting.

Bathrooms: Common and private bathrooms were clean, properly supplied and had functional fixtures. Between 09:09 a.m. and 09:15 a.m., hot water temperatures measured between 128.7 degrees Fahrenheit and 130 degrees Fahrenheit private bathroom(s) for room #111 and room #127 (located on the Assisted Living section of the facility). The LPA advised Director hot water temperature is to attain a temperature of not less than 105 degrees Fahrenheit (41 degree C) and not more than 120 degrees Fahrenheit (49 degree C). Director was advised this poses an immediate health and safety risk to residents in care.