Facility Evaluation Report

Licensing Program Analyst (LPA) Bruce Jacobs arrived at the care home to conduct an unannounced Annual Inspection. Facility Administrator Michelle Macias was informed of the purpose of the visit and was able to assist with the completion of the inspection focusing on the facility's mitigation plan and infection control procedures. The facility has submitted a written mitigation plan (LIC 808) and LPA reviewed and discussed the plan and current Licensing guidance..

LPA toured the facility and reviewed the Mitigation Plan as well as discussing COVID Training Procedures during the Inspection. Smoke alarms and smoke detectors are hard wired to the facility, were tested are operational. Fire extinguishers were serviced in February 2021 and are in compliance and are due to be serviced next month. Facility has carbon monoxide detectors. Medication were locked and facility was determined to have an adequate food supply. Facility's PPE supplies were observed and determined to be adequate for a 30 supply.

The interior and outdoor area of the home was inspected including bedrooms, kitchen, bathrooms, and common areas for this home. There are six clients in the home and five client bedrooms, two clients are on hospice. LPA observed this facility to have a locked perimeter. This facility has a locked perimeter waiver on file.