Facility Evaluation Report

On 08/20/24, 10:15 AM, Licensing Program Analyst, (LPA) Raymond Comer, conducted an unannounced Annual visit to this facility. LPA met with Facility Administrator, Brian Rosales, and reason for the visit was discussed.

Facility is licensed as a single-story residence, fire clearance for ten (10) non-ambulatory, and one (1) bedridden. Hospice waiver for eleven (11). Facility has eight (8) total bedrooms; seven shared and one private, and two (2) bathrooms.

At 10:30 AM , LPA conducted a tour of the physical plant with the Administrator and observed the following:

Physical plant was inspected for cleanliness and condition . Facility’s main door is the primary entry/exit access. Screening area is located immediately upon entrance. Auditory alarm sensors are present on all exits. Visitor Sign-in sheet, hand sanitizer, gloves and masks are available . Room temperature is comfortable; wall thermostat displays a setting of 75.0°F ., within the required range. An approved Mitigation and Infection Control plan is on file. Hand washing, coughing etiquette, and other necessary signage are prominently displayed throughout the facility. Required postings observed to be current. Disaster drills were last conducted in March, 2024.

Fire Detection/Protection system is present in the facility. Multiple dual smoke alarm and carbon monoxide detectors are installed, hardwired, and interconnected. Detectors were tested and function properly. LPA observed Three (3) fire extinguishers located on the wall between the dining room and kitchen, behind the front door, and at the end of the hallway near rooms bedroom#7 and bedroom #8. Extinguishers display service date: 02/16/2024.