Facility Evaluation Report

Licensing Program Analyst (LPA) Jerome Haley conducted an unannounced visit for the purpose of conducting a required one year infection control annual visit. LPA was greeted, granted entry by staff and explained the reason for the visit.

Administrator Lauren K. Lu has a current administrator certificate that expires 11/18/22. The facility had all the required postings on the wall. LPA Haley observed a screening station with a temperature log book, temperature thermometer and hand sanitizer near the entrance of the facility. There were six residents present for the visit.

LPA Haley began the tour with Staff at 12:40. We started the tour of the facility in the locked staff office. There was a locked medication cabinet, and above there was a locked cabinet with resident hygiene products. Client files were also neatly organized in the cabinets in the staff office. LPA Haley observed a first aid kit equipped with all the required elements. Further, the facility has adequate PPE supply of gloves, N95 mask, surgical mask, and hand sanitizers stored in the staff office as well.

The garage was organized and free of clutter. There was a locked cabinet with cleaning materials. There was an additional supply of food items stored in the garage, along with a emergency supply of water. The facility has emergency kits and emergency bags prepared and ready to go for each resident.

The kitchen was clean and well organized. All knives and sharp objects were locked in a drawer. The stove was clean and all burners were operational. The facility has a two day supply of perishable food items and seven day supply of nonperishable food items that are kept orderly and organized.

At 12:55 LPA Haley began the tour of resident rooms and bathrooms. All client bedrooms were clean, well organized, and had all necessary requirements: night stand, chair, lamp and storage space. Both client bathrooms were clean and organized. Hot water temperature was measured at 106.3 degrees Fahrenheit in client bathroom #1 and 111.5 degrees Fahrenheit in client bathroom #2.