Facility Evaluation Report

Licensing Program Analysts (LPAs) Ruth Martinez and Hanna Gough are conducting this unannounced visit for the purpose of completing the annual required inspection. LPAs arrived at the facility and was greeted and granted entry by staff. LPAs met with Administrator (AD) Ofelia Angeles and explained the nature of the visit. There are three residents at the facility.

LPAs accompanied with (AD) began the tour of the inside and outside of the facility. LPAs observed required department postings throughout the facility. Facility stays within the capacity limitations. There is a minimum of one week of non-perishables foods and two days of perishable foods available. There is additional food storage in a spare refrigerator and pantry located in the garage. The facility is maintained at a comfortable temperature. LPAs inspected that medication is centrally stored in a safe locked storage cabinet located in the kitchen. LPAs reviewed medication and observed medication was labeled and stored inaccessible to residents in care. LPAs inspected the bathroom and LPAs measured the hot water temperature between 111.7-119.6 degrees Fahrenheit. The bathrooms observed to have a supply of soap, toilet paper and paper towels. Bathrooms are equipped with required safety measures such as non-skid mats and grab bars. Lighting is sufficient to ensure safety and comfort. The facility is equipped with sufficient hand hygiene, cleaning, and disinfecting supplies. LPAs observed that toxic chemicals, cleaning solutions and disinfectants are stored locked underneath kitchen sink and in a locked storage cabinet located in the garage. The facility has an available clean supply of linens. LPAs inspected residents’ bedrooms. All bedrooms observed to have all required components and furnishings. Storage space is provided for residents in their bedrooms. Smoke detectors/ carbon monoxide were tested and found to be operational.