Facility Evaluation Report

Licensing Program Analyst (LPA) Ruth Martinez are conducting this unannounced visit for the purpose of completing the required annual inspection. LPA arrived at the facility and was greeted and granted entry by staff. LPA met with Mark Cruz, Administrator and explained the nature of the visit. There are six residents at the facility and there is one resident receiving hospice care.

LPA began the tour of the facility. LPA observed required department postings throughout the facility. Facility stays within the capacity limitations. There is a minimum of seven days of non-perishables foods and two days of perishables foods on hand. LPA inspected the medication is centrally stored in a locked storage closet located in the hallway that leads to the bedrooms. LPA reviewed medication and observed medication was labeled and stored inaccessible to residents in care. LPA inspected the facility bathrooms and LPA measured the hot water temperature which measured 111.7 degrees Fahrenheit. All 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. LPA observed that toxic chemicals, cleaning solutions and disinfectants are stored locked in a storage cabinet located in the garage. The facility has an available clean supply of linens. LPA inspected residents’ bedrooms which has sufficient lighting to ensure their safety and comfort. All bedrooms observed to have all required components and furnishings. Storage space is provided for residents in their bedrooms. Smoke and carbon monoxide detectors were tested and found to be operational. LPA toured the outside of the facility and observed