Facility Evaluation Report

At approximately 9:00 AM Licensing Program Analyst (LPA) Helena Rummonds arrived unannounced to conduct an annual required inspection and met with Administrator, Nancy Morquecho. LPA and Administrator discussed the purpose of the visit.

LPA and Administrator initiated a tour of the facility around 9:15 AM and made the following observations: Facility was a comfortable temperature and passageways were free from obstructions. Resident rooms were furnished per regulation. Water temperature in sinks accessible to residents measured at 112, 107, 113, 112, and 118 degrees F which are within the range of 105 to 120 degrees F allowed per regulation.

Extra hygiene products and linens were available. Cleaning supplies were stored in closet in kitchen, separate from food storage. Facility has at least two days of perishable and one week of non-perishable foods which appeared to be of quality and stored per regulation. Medications were centrally stored. LPA observed the medication room door to be open leaving medications accessible to residents in care. Administrator immediately closed and locked the medication room door. Emergency food and water supplies are rotated to keep them from expiring, and are stored in the facility kitchen. Personal Protective Equipment is stored in an outdoor storage shed.

Fire extinguishers were last serviced November 2023. Facility has combination Smoke/ Carbon Monoxide detectors and a sprinkler system which was last inspected by the fire department on 12/13/2023. Most recent fire/disaster drill was conducted on 11/10/2021. LPA confirmed with Administrator that drills are to be conducted on a quarterly basis, as per Title 22 regulations.