Facility Evaluation Report

Licensing Program Analyst (LPA) Elsie Campos arrived at the facility unannounced to conduct a required annual visit at approximately 1:45 p.m. This annual had a specific emphasis on infection control practices and procedures. The LPA met with Staff Bibi Castaneda and explained the reason for the visit. The administrator was unavailable at the time of the visit and BIbi Castaneda was the designated staff to sign the report.

The LPA toured the physical plant areas inside and outside with Staff Bibi Castaneda to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations.

KITCHEN: Knives are stored in a locked cabinet in the kitchen. Kitchen appliances were in operable condition. The facility has a sufficient supply of perishable and non-perishable food. At 1:56 p.m. the LPA observed an unlocked and accessible medication cabinet containing centrally stored medications. At 1:59 p.m. the LPA observed an unlocked and accessible cabinet under the kitchen sink containing disinfectants and cleaning supplies.

BEDROOMS: The LPA observed seven resident bedrooms and one staff room. Six out of seven resident bedrooms have an exit to the exterior. All bedrooms were furnished appropriately with clean linens, furnishings, and sufficient lighting. At 2:21 p.m. the LPA observed accessible ointments in resident bedroom #4 and resident bedroom #5.

RESTROOMS: Restrooms are clean, sanitary and in operating condition with grab bars and non-skid surfaces. The LPA did not observe appropriate hand-washing signs in the restrooms. Water temperature measured between 124.3 degrees Fahrenheit and 124.8 degrees Fahrenheit between 2:17 p.m. and 2:26 p.m.