Facility Evaluation Report

Licensing Program Analyst (LPA) Jose Villalobos conducted an unannounced Required- 1 year visit using the full Care Compliance and Regulatory Enforcement (CARE) Tools. LPA met with Facility Registered Nurse Paula Martinez and the purpose of the visit was discussed.

The following 12 (CARE) tool domains were utilized during the inspection:

Infection control practices and Personal Protective Equipment (PPEs) were observed. COVID-19 screening is no longer in place. The facility has an Infection Control Plan.

A current Plan of Operation was reviewed. The Infection Control Plan has been added to the Plan.

A fire clearance for four clients of which (4) may be non ambulatory; 0 may be bedridden.

The facility does not have Dementia clients. Facility is a 1-story residential home with 4 client bedrooms, 2 1/2 bathrooms, activity rooms, dining room, kitchen, office, and a front and backyard.

The interior and exterior physical plant was inspected. Exit doors are free of any obstruction and there are no pools or large bodies of water. Cleaning supplies and toxic substances are inaccessible to residents.

On 9/8/23, The sprinkler system, and alarms were inspected. Fire extinguishers Observed

Water temperature readings measured within the required 105 - 120 degrees Fahrenheit.

Staff have criminal background clearance and training.

Five (5) staff files were reviewed. Proof of staff training, health clearance, and 1st Aid/CPR training was observed.