Facility Evaluation Report

Licensing Program Analysts (LPAs) Vincent Moleski and Holly Williams arrived unannounced to conduct an annual inspection. LPAs Moleski and Williams met with facility administrator Nelie Gavino and explained the purpose of the visit.

LPAs Moleski and Williams reviewed 6 resident files (R1-R6) and 5 staff files (S1-S5).

LPAs Moleski and Williams toured the facility with Gavino inspected common areas, the kitchen, bedrooms, bathrooms, and outdoor areas. Furniture and furnishings were sufficient to meet the needs of residents. The facility temperature was 74 degrees Fahrenheit, which is within the required range of 68 and 85 degrees. The facility's water temperature measured 110 degrees Fahrenheit, which is within the required range of 105 and 120 degrees.

LPAs Moleski and Williams observed first aid supplies, fully-charged and up-to-date fire extinguishers, and carbon monoxide/smoke detectors. LPAs Moleski and Williamsobserved a minimum 2-day supply of perishable food and a minimum 7-day supply of nonperishable food. However, LPAs Moleski and Williams observed several bowls of food that were uncovered in the refrigerator. LPAs Moleski and Williams observed a locked cabinet for the storage of medication. LPAs Moleski and Williams observed locked cabinets for the storage of cleaning solutions and knives. In the kitchen, LPAs Moleski and Williams observed a unlocked drawer with two pairs of sharp pruning shears. LPA Williams checked 3 residents P and I ledgers and the balances were correct.

LPAs Moleski and Williams observed during record review that a needs and services plan was missing from R3's file. R3's admission date is 12/31/2022.

LPAs Moleski and Williams interviewed one staff member (S1) and 4 residents (R1-R3 and R8). [continued on 809-C]