Facility Evaluation Report

Licensing Program Analysts (LPAs) Edith Conchas and Renese-Howell Small made an unannounced visit to the facility to conduct a required comprehensive annual inspection. LPA met with Assisting Administrator, Elizabeth Zarate, was granted entry, and discussed the purpose for the visit. The facility is a Residential Care Facility for Elderly (RCFE) with a license capacity of (6), and a current census of (5). LPA conducted a general inspection of facility, which included, but was not limited to, the following: Indoor and outdoor passageways were kept free of obstruction. The facility has no swimming pools or similar bodies of water. The facility has sufficient indoor activity space, art supplies, books, and board games for residents in care. Outdoor activity space is enclosed with a latching gate. The facility is maintained at a comfortable temperature of 75 degrees F. Resident bedrooms were furnished with beds, night stands, chairs, bed linen and lighting. Resident bathroom equipment were operating properly and bathrooms were equipped with grab rails and slip mats. The hot water temperatures in the bathrooms measured at 125 degrees F, a deficiency was issued. The facility is equipped with operating smoke detectors and carbon monoxide alarms, fully charged fire extinguishers (2), laundry equipment, and telephone service. The facility has posted in a common area Community Care Licensing complaint poster, Ombudsman poster, facility license, Personal rights. The facility staff schedule reflects 24 hours a day, 7 days a week staff coverage.

Kitchen and dining areas were maintained cleaned. Non-perishable and perishable food supply was sufficient for number of residents in care. Cups, plates, and utensils were sufficient for number of residents in care. The facility’s refrigerator and freezer were operating properly. **continued on next page**

The facility maintains record of resident’s medications and medications were centrally stored in a locked room and cabinet. LPA observed one medication without physician order, a deficiency was issued.