Facility Evaluation Report

On 7/25/2023 at 9:15 a.m., Licensing Program Analyst (LPA) Janette Romero conducted an unannounced visit to the facility for a required annual inspection. LPA met with Executive Assistant Diana Molina Ramirez who was informed of the purpose of the visit. LPA toured the facility’s interior and exterior. The facility is approved for 55 non-ambulatory residents of which five (5) may be bedridden and has a hospice waiver for 25. Executive Assistant Ramirez stated the facility currently has 18 residents on hospice and one (1) bedridden.

During the tour, LPA observed the facility has a small common area in each villa. The outside area provides shaded seating available for resident use. LPA observed residents playing bingo on the patio with Activities Director Elizabeth Torres. Indoor and outdoor passageways are free of obstruction. LPA observed fire alarm systems, carbon monoxide detectors and fire extinguishers throughout the villas. Long-Term Care Ombudsman posters were observed throughout the facility as well. The temperature in each villa is comfortably set to 72 degrees Fahrenheit. There are no bodies of water on the premises. LPA toured the kitchen and observed food was stored in a safe and healthful manner. Facility met Departmental requirements for 2-day perishables and 7-day non-perishable food items. Medications are secured in medication carts inside the locked med room. Cleaning solutions and chemicals are secured in a locked hallway closet. Knives and sharp instruments are secured in the kitchen.