Facility Evaluation Report

This unannounced inspection is being conducted by Licensing Program Analyst (LPA) Sean Haddad for the purpose of conducting a Required – 1 Year Inspection. LPA met with Administrator (AD) Jesus Soto and discussed the purpose of the inspection.

LPA reviewed Infection Control requirements. At about 12:00PM, LPA and AD conducted a tour of the inside and outside of the facility, common areas, resident rooms, kitchen, and medication room and observed the following: Structure: this is a large commercial facility. Facility is composed of two buildings. The two-story administrative building does not contain any resident rooms but contains staff offices, common areas, and storage areas. The larger one-story residential building contains 36 resident bedrooms, 29 bathrooms, common areas, medication room, dining room, kitchen, and laundry rooms. There is a large patio with patio covers for the residents. Resident Bedrooms: the 20 resident bedrooms inspected are spacious and will easily accommodate the residents’ furnishings. Furniture for 20 resident bedrooms inspected. Bathrooms: the bathrooms were clean, faucets and toilets were operational. Water temperature: tested at 138 degrees F in room D5, 135 degrees in the common bathroom in the C Wing, 106 degrees in room B1, 114 degrees in room A8, and 120 degrees in room E6, before corrections. Linens & Hygiene Supplies: new linens and fully stocked linen closets were observed. Emergency Phone Numbers, Exit Plan & Menu: reviewed. Food Service: LPA observed the facility has a 2-day supply of perishables and a 7-day supply of non-perishable food is available as required by regulations. Carbon Monoxide, Smoke Detectors, Fire Extinguisher: observed. Appliances: stove burners, microwave, washers, and dryers inspected. Knives: observed locked in the kitchen. Toxins: observed locked in the housekeeping closets. Medication room: observed to be locked. First-Aid Kit and Activity Supplies: observed and available. The facility’s licensing fees are paid. At about 1:00PM, LPA reviewed 5 resident files and 5 staff files, interviewed 5 residents and 5 staff, and inspected medications for 5 residents. Facility does not handle resident money.