Facility Evaluation Report

Licensing Program Analyst (LPA) Arian Golbakhsh conducted an unannounced, required Annual Inspection. The facility file and personnel report was reviewed prior to the visit. LPA was welcomed by, identified themselves to, and discussed the purpose of the visit to Concierge Carlos Gomez and Executive Director Donelle Williams. The facility's license shows a maximum capacity of one-hundred-and-one (101) non-ambulatory residents. Additionally the facility is approved for a hospice waiver for ten (10). During today’s inspection there were ninety-six (96) residents in care, with seven (7) currently receiving hospice services.

LPA and Executive Director Williams toured the interior and exterior of the facility and inspected a sample of occupied and unoccupied resident rooms. The facility was clean, sanitary, and in good repair. Pathways were free of obstruction and slip hazards. Client bedrooms contained the required furnishings. Doors, windows, screens, toilets, and showers were in working order. Hot water temperature at taps accessible to clients were all compliant: One resident unit bathroom sink on the first floor was 111.9F and a bathroom sink on the second floor read at 109.6F. Extra linens and hygiene supplies were present, as well as Personal Protective Equipment.

The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and client activities. The facility contained at least two (2) days of perishable food, and at least seven (7) days non-perishable food, all safely stored. Cooking, dining equipment, and utensils were present.