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 Administrator Simm Sanasinh and was granted entry to the facility. Licensed capacity is (6) current census (5). LPA was accompanied by Administrator Simm Sanasinh to conduct a general overall inspection, which included, but was not limited to, the following:

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. 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.

During facility tour, LPA observed the living room located by the front door entrance was converted to R3 bedroom. Based on facility sketched and fire clearance the living room shall remain as a living room not a residents’ bedroom. In addition, LPA observed R1 had bedrails. Based on LIC602A R1 is considered bedridden. During record review, the facility’s fire clearance is granted for (4) ambulatory and (2) non-ambulatory. Facility is not approved for bedridden residents.

Food Service: Non-perishable and perishable food supply is sufficient for number of clients in care. Facility has a variety of food available for clients. Dishes, cups, and utensils were also stored properly.