Facility Evaluation Report

Licensing Program Analyst (LPA) Janira Arreola conducted an unannounced annual required visit on 4/4/2023 at 09:47 a.m. LPA met with ... who was informed of the purpose of the visit. At the time of the visit there was (3) staff and (6) residents present.

The facility is a one story home with (5) bedrooms and (4) bathrooms home. The residents served are elderly ages 60 and above. LPA conducted a tour of the interior and exterior, reviewed facility documents and conducted (2)staff and (1)resident interview, and (1) resident interview was attempted. LPA observed the following:

Infection Control: The LPA observed the hand washing stations in the facility restrooms. LPA observed gloves and cleaning supplies to do regular cleaning of the facility. LPA reviewed the facility's infection control plan and found all required infection control measures. LPA observed PPE supplies at the facility. The LPA observed the training log for staff.

Physical Plant/Planned activities: LPA observed the resident bedrooms. Physical plant, floors, windows, and doors were observed to be clean. Fixtures and furniture were in good repair were present. The outdoor area was observed to be free of hazards. Laundry room was observed to be locked and was observed to be in good working condition. The dangerous objects were observed to be locked and inaccessible to clients.

Food Service: LPA observed facility kitchen had the ability to prepare food in clean environment and possessed equipment in good working condition. LPA observed the facility met the required 2-day supply of perishable and 7-day supply of non-perishable foods.

Care & Supervision / Administration: LPA observed t adequate staff are present for the supervision of clients. Emergency exiting plans, and personal rights were found posted in the facility. The listed administrator, possesses a current administrator's certificate.