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 Administrator Jesse Quezada 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 approved for (6) of which six (6) can be non ambulatory. Hospice waiver approved for up to two (2)

The facility does have a Dementia resident. Facility is a 1-story residential home with 6 resident bedrooms, 2 bathrooms, living and dining room, kitchen,office/laundry room,and a front an d 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. Sharps locked and inaccessible to residents

On 9/5/23, Emergency Drill conducted. Fire extinguishers Observed

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

Staff have criminal background clearance and training.

Four (4) staff files were reviewed. Proof of staff training, health clearance, and 1st Aid/CPR training was observed.