Facility Evaluation Report

At approximately 9:00AM, Licensing Program Analyst (LPA) Chris Arnhold arrived at this facility unannounced to conduct a Required-1 Year inspection. LPA met with Administrator Perla Gonzalez and explained the purpose of the visit. Administrator certificate is current. Facility has a Hospice waiver for six residents.

At approximately 9:30AM, LPA toured the facility to ensure the health and safety of residents in care. The facility was observed to be 66 degrees in the common area. Staff told LPA the thermostat is adjustable but it isn't communicating with the system. Administrator informed LPA they recently had the heating system services and they will contact them again to correct the issue. Areas toured include but are not limited to resident rooms, common areas, bathrooms, kitchen, storage areas and back yard. In the areas toured no immediate health, safety, or personal rights violations were observed. Fire extinguishers were fully charged. Smoke detectors are all operational. Carbon Monoxide Detector was present. Facility has sprinklers throughout. The common areas, bathrooms and kitchen were clean and in good repair. All bedrooms had required furniture, bedding, and lighting. The kitchen equipment was clean and in good repair. Dishware appeared to be stored in a sanitary manner. Food appears to be stored and prepared properly. Refrigerators and freezers were maintained at the proper temperature. Facility has required supply of perishable and non-perishable food. Emergency water was present to ensure facility can be self-sufficient for 72 hours. Facility has a generator to supply power in an emergency. Emergency lighting devices were present. First aid kit was present. No pools/bodies of water are on the premises. Facility has been conducting Emergency drills every 3 months.

At approximately 10:00AM, LPA reviewed 5 of 5 resident files. 2 of 5 records did not contain evidence of medical assessment within the last 12 months. One of five records did not contain a signed admission agreement or Pre-Admission Appraisal. Reappraisals were current in 4 of 5 records. Medication records were organized and contained orders for each medication. Medications were secured in a locked cabinet.