Facility Evaluation Report

On 12/07/2022, Licensing Program Analyst (LPA) V. Gorban arrived unannounced at the above facility to conduct an Annual Inspection- Infection Control. LPA introduced self, stated the purpose of the visit, and was granted entry to the facility by staff, Ana Bides, administrator Mark Castillo, certification expiration 11/18/24, was notified over the phone of Licensing visit and arrived shortly.

Visitor log-in/temperature check station was observed upon entry. Hand sanitizer was readily available to residents and visitors. Facility has one entrance/exit point. Hand washing and other various Covid-19 related signs were observed in the common areas. Facility staff was observed with mask covering.

The facility was observed, with 20 female private rooms occupied and 20 male rooms on the opposite side of the facility, to be at a comfortable temperature, free of debris, in good repair, and no passageway obstructions or fire hazards were observed. Common areas were properly furnished and well-lit throughout. PPE were observed in a laundry room. A 2-day supply of perishable and 7-day supply of non-perishable food was observed to be properly stored and labelled. Fire extinguisher was observed with a service date of 10/13/2022 Resident's all bedrooms were observed to be adequately furnished with bed, dresser, and adequate lighting. Sample of residents file was reviewed for emergency contact and medication documentation. Facility utilizes electronic mars documentation for narcotics, prn and daily medications/prescriptions.

No deficiencies were observed. Administrator was provided the source to Title 22 and PINs update information.