Facility Evaluation Report

Licensing Program Analysts (LPA's) Elsie Campos and Ashley Smith arrived at the facility unannounced to conduct a required Annual visit. This annual had a specific emphasis on infection control practices and procedures. The LPA's met with Administrator Zenaida Velasco and explained the reason for the visit. The administrator advised that there are currently no residents in the facility.

The LPA's toured the physical plant areas inside and outside, with Zenaida Velasco at 9:56 a.m., to ensure there are no health and safety hazards.

BEDROOMS: There are (4) four bedrooms designated for resident use. Bedroom #2 and Bedroom #4 have a direct exit to the exterior. The facility is capable of furnishing each room with clean linens, appropriate furnishings, and sufficient lighting for resident use. Bedroom #3 leads to a hallway, which allows for access to Bedroom #5 and Bedroom #6; however, those two rooms designated for staff. There is an exterior door that leads to Bedroom #5 and Bedroom #6. Staff are aware that once they have residents in Bedroom #3, staff would need to enter their rooms through the exterior door.

RESTROOMS: There are (2) bathrooms designated for resident use. There is a bathroom designated for staff use only. Bathrooms are clean, sanitary, and in operating condition with grab bars and non-skid surfaces. The LPA's advised the Administrators to ensure that bathrooms were stocked with paper towels and hand-washing signs prior to allowing resident admissions. Between 10:41 a.m. – 10:44 a.m., the LPA's measured the hot water temperature in (2) two out (3) three bathrooms. The hot water temperatures measured between 123.3 and 124.3 degrees Fahrenheit.