Facility Evaluation Report

On 08/03/2022, Licensing Program Analyst (LPA) Jessica Cho conducted an unannounced visit to Verona Court III. The purpose of today's visit was to conduct a Required 1 Year visit focusing primarily on Infection Control. At 11:26am, LPA Cho was allowed entry in the facility and met with Caregiver Margot Rivera after completing the Coronavirus 2019 (COVID-19) screening procedure. Caregiver Marito Rivera was also present at the facility. As of today, there are no active COVID-19 cases in the facility. Facility screens and documents temperatures for all visitors on a sign in sheet as well as residents. The facility screens but has stopped documenting temperatures for staff since March 2022. LPA observed the required COVID-19 precautionary signs posted throughout the facility. The facility is licensed for six non-ambulatory residents of which six may be bedridden. The facility also has a Hospice waiver for six residents. There are currently six residents living in the facility of which three are receiving hospice services.

At 11:32am, LPA Cho conducted a tour of the physical plant along with Caregiver Marito Rivera. Administrator (Admin) Julie Gorordo entered the facility around 11:35am and assisted with the tour. The single story home consists of six resident bedrooms with two resident bathrooms. There are two staff bedrooms and one staff bathroom. The facility also has a living room, dining area, kitchen, laundry room, and an attached two car garage. LPA Cho observed the Complaint Poster in the incorrect size requirement of 8.5" x 11." Facility to obtain the Complaint Poster in the required size of 20" x 26." The resident bedrooms had the required furnishings, bed linens, and closet/drawer space to accommodate each resident comfortably. Resident bathrooms were checked. Toilets and water faucets worked properly, grab bars were secure, showers were free of mold/mildew, and a non-skid surface or mat was in place. Resident bath towels and personal hygiene supplies were adequately stocked including paper towels and hand soaps. LPA Cho tested the hot water temperature in the resident bathrooms and the temperature measured at 109.4 degrees Fahrenheit in the Bathroom #1 and 109.7 degrees Fahrenheit in Bathroom #2.