Facility Evaluation Report

Licensing Program Analyst (LPA) Elsie Campos arrived at the facility unannounced to conduct a required annual visit at approximately 9:10 a.m. This annual had a specific emphasis on infection control practices and procedures. The LPA met with Administrator Eugenia Abrigo and explained the reason for the visit.

At 9:27 a.m. the LPA toured the physical plant areas inside and outside with Administrator Eugenia Abrigo 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 9:53 a.m. the LPA observed two expired packages of sandwich meat. An unsealed bacon package was also observed. The administrator was reminded to ensure that all food items are properly sealed and audited for expiration. The administrator discarded expired items at the time of the visit.

BEDROOMS: The LPA observed six resident bedrooms and one staff bedroom. Bedrooms were private with Bedroom #1 and Bedroom #4 containing a private bathroom. All resident bedrooms had an exit to the exterior. All bedrooms were furnished appropriately with clean linens, furnishings, and sufficient lighting.

RESTROOMS: The facility has 4 bathrooms. Bathrooms are clean, sanitary and in operating condition with grab bars and non-skid surfaces. The LPA observed appropriate hand-washing signs in the restrooms. At 9:29 a.m. the LPA observed accessible cleaning supplies under the bathroom sink in bedroom #1. Water temperature measured between 127.0 degrees Fahrenheit and 130.4 degrees Fahrenheit between 9:32 a.m. and 9:41 a.m. The administrator was reminded about water temperature regulations and adjusted the temperature at the time of the visit.