Facility Evaluation Report

On this day, Licensing Program Analysts (LPAs) Kevin Saborit-Guasch and Brandon Lopez made an unannounced visit to the facility for the purpose of conducting the required annual inspection. LPAs were greeted and granted entry by facility caregivers after introducing themselves and stating the purpose of the visit. Administrator Giannina Adolfo was notified by telephone and arriver later to assist with the visit.

LPAs accompanied by facility staff conducted a tour of the physical plant and observed the following: the facility is a one-story home with an attached garage. The facility has six private bedrooms. All resident bedrooms have the required furnishings. LPAs observed all beds have linen and blankets. There are half rails used for postural support in one of the private bedrooms and full rails on another. Physician orders for both were reviewed, along with the hospice plan of care for the resident with full rails. There are three bathrooms, two of which are en-suite. All bathrooms are observed to be equipped with grab bars and slip mats. The shared bathroom accessed through the hallway is observed to have a dirty floor mat with deposit as well as rust stains on the wall below the hand rail. The HVAC intake on the ceiling across from the bathroom is also observed to be covered in dust. Type B citation issued. Bathrooms faucets and toilets are operational. Water temperature was measured at 114.4F and 113.5F in two of the three bathrooms.

There are currently five residents admitted to the facility, two of which are receiving hospice care. LPAs observed emergency disaster plan with means of exiting and emergency phone numbers listed and posted. Drills are conducted quarterly and documented. LPAs observed the facility has a 2-day supply of perishables and a 7-day supply of non-perishable food as required by regulations. Smoke and carbon monoxide detectors tested operational. Fire extinguishers present are fully charged and have been maintained in 2024.