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 after introducing himself and stating the purpose of the visit. Administrator Mark Ryan Cruz was notified of the visit via telephone and arrived later to assist.

There are currently six residents in care, six of which are receiving hospice care at this time. LPA observed residents relaxing in the facility's common living areas or in their respective bedrooms. LPA accompanied by facility staff toured the physical plant. The facility is a one-story house with an attached garage. The facility has four private and one shared bedrooms along with one staff room that is normally kept locked. Door was however not locked at the time of the present visit. There are two shared bathrooms throughout the facility.

Bedrooms appear clean and sanitary. All residents are using half rails or full rails for postural supports. Adequate orders present in all hospice plans of care reviewed. All resident bedrooms have the required furnishings. Bathrooms appear clean and sanitary. Hot water temperature measured at 110F in two bathrooms with faucets used for personal grooming.

LPA observed the kitchen has a minimum two (2) day perishable and seven (7) day non-perishable food supply. Sharp items and the medication central storage verified to be secured. Cleaning supplies and chemicals are observed in an unlocked cabinet off of the dining room and are moved to a secure storage during the visit. Type B citation issued and cleared during the visit.