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. Staff called Administrator (AD) Kevin Mendoza via telephone who arrived and was present for the visit.

Administrator Adriana Mendoza has a current Administrators Certificate that expires 04/06/23. There were six residents present during the visit.

At 10:20 AM LPA Haley and staff began the inspection at the entrance of the facility. A screening station with hand sanitizer, face mask and screening logs was observed right next to the front door. A temperature thermometer was mounted in the wall. Next to the screening station LPA observed a locked medication cabinet. In the locked medication closet LPA observed a first aid kit hanging on the wall.

Resident bedrooms were clean, organized, and had all necessary requirements. Resident bathrooms were clean, organized, and grab bars were present in the showers and near the toilet in each resident bathroom. In the hallway cabinets near the resident rooms, LPA observed plenty of clean linen and towels.

The kitchen area was observed. Knives and sharp objects are locked in a drawer near the sink. All burners on the stove were operational. LPA Haley observed a 2 day supply of perishable items and a 7 day supply of non-perishable items.LPA Haley advised AD Mendoza on the importance of having enough food in the facility at all times. AD Mendoza stated the facility goes to the grocery store on Thursday. A fully charged fire extinguisher was mounted on the wall next to the pantry. In the dining room, LPA observed a piano, board games for the residents, and some exercise pedals for the residents to enjoy.