Facility Evaluation Report

Licensing Program Analysts Sarah Hurt and Miriam Flores (LPA'S) conducted an unannounced visit today for the facility’s annual inspection. LPA met with Assistant Administrator, Richard Macaset, Continual Administrator's Certification expires 05/16/2024. There are currently 24 residents who reside at this home. LPA's inspected the interior and the exterior of the facility including the common living spaces, resident bedrooms and bathrooms, activity rooms. Food supply is adequate for 2-day perishable and 7-day nonperishable.

LPA's observed toxins and cleaning supplies accessible to residents through outside side gate leading into an area onto the side of the kitchen. LPA's observed medications accessible to residents through an unlocked side gate leading into the facility kitchen area. LPA's observed several mattresses in disrepair, and without sheets or bedding. LPA's observed several facility windows to be missing screens or screens have rips and tears. LPA'S observed facility fire extinguishers last serviced September 2021. LPA's observed the facility resident bathrooms to be in disrepair with black mold in the shower of resident hallway bathroom. LPA's observed spider webs with spiders in facility bathrooms. LPA's observed the facility resident bedrooms to be dirty, including walls to be extremely dirty, and drapes (sheets covering windows.) LPA's observed several resident dressers to be broken. LPA's observed food storage containers inside the facility refrigerator without dates or labels. LPA's observed several food containers in facility kitchen to be dirty. LPA's observed facility resident bathrooms water temperature was tested at 125 degrees. This facility does not perform disaster drills as required.