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 caregiving staff after introducing himself and stating the purpose of the visit. Administrator Brian Estorba was notified and arrived shortly afterwards to assist.

There are currently three residents in care, one of which is receiving hospice care at this time. Residents are observed relaxing in their respective bedrooms. LPA accompanied by facility staff toured the physical plant. The facility is a one-story house with five bedrooms. There are two bathrooms used by residents, one of which is en-suite. None of the residents are bedridden at this time.

All occupied bedrooms appear clean and sanitary. One resident uses half-length rails for postural support and one has full rails. Physician order for R1 and hospice plan of care for R2 reviewed during the visit. R2 only has an order for half-rails instead of full rails. Consultation provided. 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 114F in the shared bathroom. Unsecured cleaning products observed under both bathroom sinks. Type A deficiency cited.

LPA observed the kitchen has a minimum two (2) day perishable and seven (7) day non-perishable food supply. Sharp items, cleaning supplies and the medication central storage located in the kitchen and living room are verified to be secure.