Facility Evaluation Report

Licensing Program Analyst (LPA) Hanna Gough arrived at the facility to conduct the required annual inspection. LPA was greeted and granted entry by staff. LPA met with Administrator (AD) Jerry Rodriguez and discussed the purpose of the visit. The facility currently has 139 residents in care.

The facility is a three story building with resident apartments, 2 activities rooms, dining room, laundry rooms, kitchen, staff offices, and medication room. The facility appears clean, safe, and sanitary. LPA observed residents engaging in an ice cream social in the activity room at the time of the inspection. LPA observed the required departmental postings throughout the facility. LPA observed the resident apartments to have the required components and furnishings. LPA observed the resident bathrooms to have soap, toilet paper, and non-slip mats. LPA tested the water to be between 115.1-122.5 degrees Fahrenheit in the resident bathrooms. LPA observed the dining room between food services while staff was cleaning and preparing for the next seating. LPA observed the kitchen to be clean and free of vermin. LPA observed the kitchen doors to lock making the knives inaccessible to residents in care when not in use. LPA observed the emergency food and water supply in a closet located in the kitchen. LPA observed a seven day nonperishable and two day perishable food supply on hand. LPA observed fire extinguishers in the kitchen and throughout the facility charged and with service dates of September 5, 2024. LPA observed the medication room to have a lock making it inaccessible to residents in care. LPA observed the laundry rooms for staff to be locked and the resident laundry room to be operational. LPA observed toxins and chemicals to be in a closet located in the kitchen and in a closet on the second floor. LPA observed the courtyard to be free of debris and obstructions and has a shaded seating area for resident use.