Facility Evaluation Report

Licensing Program Analyst (LPA) Mary Rico made an unannounced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection. LPA met with staff memebers Kamala Hallare and Juan Navarrao. LPA Rico was granted entry to the facility. Licensed capacity is (6) current census (5). LPA was accompanied by to staff Kamala Hallare to conduct a general overall inspection. The Designated Substitute Administrator Jocelyn Martin was contacted and informed about today’s visit. Jocelyn stated she was unable to arrive to the facility as she was working at another facility Eliaa LLC2.

Physical Plant: There are no obstructions to indoor and outdoor passageways. The facility is maintained at a comfortable temperature. LPA inspected residents’ bedrooms; they are equipped with required furniture such as mattresses, nightstands, storage space, and sufficient lighting; bathrooms were clean, and appliances were operating appropriately. LPA observed sufficient furniture and lighting throughout the facility. The facility is equipped with operating smoke detectors and carbon monoxide alarms. Posters such as personal rights, the CCL complaint poster, and the disaster plan were posted in a common area. Cleaning supplies, toxins, sharps, and other dangerous items were kept inaccessible to residents in care. Food Service: Non-perishable and perishable food supply is sufficient for number of residents in care. Facility has a variety of food available for residents. Dishes, cups, and utensils were also stored properly.

Deficiencies that were issued: During the client record review, LPA Rico observed that C1, C2, C3, C4, and C5 all had identical Needs and Services Care Plans. In addition, LPA Rico observed that C1 is a part of ROG services, and that C2, C3, and C4 stated the licensee handles their finances. S1 was unable to locate clients cash resources. S1 stated that the licensee had stored clients cash in the safeguard but was unsure where the clients money is currently located. LPA Rico was unable to verify client finances.