Facility Evaluation Report

On this day, Licensing Program Analyst (LPA) Kevin Saborit-Guasch made an unannounced visit to the facility to conduct the required annual inspection. LPA was greeted and granted entry by facility administrator Susana Cambio after stating the purpose of the visit. Administrator Leo Cambio also arrived shortly afterwards to assist with the visit.

There are currently five residents in care, none of which is receiving hospice care at this time. Residents are observed relaxing in their respective bedrooms and having lunch in the facility's kitchen. Flooring renovation is under way in the caregiver room and living room. Resident bedrooms flooring have been replaced the day leading up to the visit. LPA accompanied by facility staff toured the physical plant. The facility is a one-story house with two shared bedrooms and one single bedroom, along with one room used by overnight caregiving staff. There are two shared bathrooms used by residents. None of the residents are bedridden at this time.

All occupied bedrooms appear clean and sanitary. All resident bedrooms have the required furnishings. Bathrooms appear clean and sanitary and are all equipped with grab bars and slip mats. Hot water temperature measured at 109F in the shared bathroom. Unsecured cleaning products observed under one of the bathroom sinks as well as in the kitchen. Type B deficiency cited.

LPA observed the kitchen has a minimum two (2) day perishable and seven (7) day non-perishable food supply. Sharp items are verified to be secure in a locked cabinet in the kitchen. The medication central storage is in a locked cabinet inside the caregiver room.