Facility Evaluation Report

Licensing Program Analyst (LPA) Ruth Martinez is conducting this unannounced visit for the purpose of completing an annual required inspection. LPA arrived at the facility and was greeted and granted entry by staff, and LPA explained the nature of the visit. Damien Martinez, Administrator, arrived shortly after and met with LPA. The facility currently has six (6) residents at the facility and there are two (2) residents receiving hospice services currently.

The facility is a one story home with a living room, kitchen, staff room, two bathrooms, four resident bedrooms, dining room, and attached garage. LPA accompanied by staff began the tour of the inside and outside of the facility. LPA observed required department postings throughout the facility. Facility stays within the capacity limitations. There is a minimum of one week of non-perishables foods and two days of perishables foods available. Facility pantry is located in the garage. There is additional food storage in a spare refrigerator in the garage. The facility is maintained at a comfortable temperature. LPA inspected that medication is centrally stored in a safe locked storage closet located in the living room. LPA reviewed medication and observed medication was labeled and stored inaccessible to residents in care, LPA observed the first aid kit. LPA inspected the facility bathrooms and LPA measured the hot water temperature which measured 117.5 Fahrenheit degrees. All bathrooms observed to have a supply of soap, toilet paper and towels. Bathrooms are equipped with required safety measures such as non-skid mats and grab bars. Lighting is sufficient to ensure safety and comfort. The facility is equipped with sufficient hand hygiene, cleaning, and disinfecting supplies. LPA observed that toxic chemicals, cleaning solutions and disinfectants