Facility Evaluation Report

Licensing Program Analyst (LPA) Janira Arreola conducted an unannounced annual continuation 5/26/2023 at 9:06 a.m. LPA was granted entry and met with Licensee, Rosie Mousser, who was informed of the purpose of the visit. At the time of the visit there was (3) staff and (3) clients present.

LPA conudtced client and staff interviews, and observed the following:

Infection Control: The LPA observed the hand washing stations in the facility restrooms and kitchen had hand hygiene supplies and hand washing signs. LPA observed PPE equipment and cleaning supplies to do regular cleaning of the facility. LPA reviewed the facility's infection control plan which met department requirements. LPA reviewed staff records and found that all staff had infection control training.

Record Review and Resident Files: Two (2) client files were reviewed, and possessed all required paperwork.

Health Related Services/ Incidental Medical Services: All client medication was locked in medication cabinet. LPA reviewed client medications for (2) client and reviewed medication lists on MARS. All medication was found to be administered and all required labeling was in place.

Disaster preparedness: LPA reviewed the facility's emergency and disaster plan, the plan met the department standards. LPA reviewed documentation showing the facility's last fire and earthquake drills, which met the department requirements. LPA observed all facility exits were clear from obstructions. LPA observed emergency supplies in the and first aid kit with all required items.

No deficiencies were cited at the time of the visit.

An exit interview was conducted where a copy of this report was provided to the Licensee, Rosie Mousser.