Facility Evaluation Report

On 09/13/2022 Licensing Program Analyst (LPA) Jacob Williams arrived unannounced to conduct a Required 1 Year inspection. LPA met with caregiver Amalia Lao (LPA spoke with Administrator Katrina Maria over phone who explained she was unable to attend due to having a medical procedure tomorrow), and explained the purpose of the visit. Prior to visit, LPA completed required COVID-19 testing protocols, and a daily self-screening questionnaire for symptoms of COVID-19 infection to affirm no COVID-19 related symptoms; upon entry LPA completed a facility risk assessment. LPA ensured they applied hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE) was worn: Surgical Mask. Additionally, LPA was screened upon entering the facility.

LPA and staff toured the facility together. LPA found facility to be odor-free and in good repair. Areas inspected include but are not limited to the following: Kitchen, living room, dinning area, six (6) resident bedrooms and three (3) bathrooms and backyard. LPA observed sharps, toxins and medications to be locked and inaccessible to residents in care. LPA observed there to be an adequate supply of 7 day nonperishable food items and 2 day perishable food items. LPA found resident bedrooms to have sufficient lighting and required furniture. LPA observed grab bars and nonskid mats in the resident bathrooms. LPA observed emergency exit paths to be free of barriers. LPA observed a sufficient supply of clean linens. Facility has a sufficient supply of PPE. LPA reviewed infection control procedures with Administrator and found facility to be in compliance.

As a result of today's visit, there are no deficiencies being cited. Exit interview conducted and a copy of report left at facility.