Facility Evaluation Report

Licensing Program Analyst (LPA) Jose De La Cruz conducted an unannounced required Annual Inspection. LPA Lopez later arrived and joined the visit. The facility file was reviewed prior to the visit. LPAs identified themselves, were granted entry by Director Agustin. LPA discussed the purpose of the visit with Director Jay Agustin.

According to the facility’s license, there may be a maximum of 32 residents, all of whom may be non-ambulatory in at any given time at the facility site. The facility is approved for 7 hospice, 4 bedridden, and a waiver approved for non-physicians to prescribe medications. During today’s inspection, the facility’s current census is 26 residents living at the facility. There were 25 residents present at the facility site during the inspection and one on day program.

LPAs inspected the interior and exterior of the facility, and inspected each room. 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, toilets, and showers were in working order. 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 activities.