Facility Evaluation Report

Licensing Program Analyst (LPA) Janira Arreola, made an unannounced visit to the facility in order to conduct a case management visit for deficiencies observed. LPA met with Nurse, Veronica Delval who was informed of the purpose of the visit.

LPA conducted a walk through of the interior and exterior of the facility. LPA found the following deficiencies:

LPA found that the current administrator on file is not the current administrator at the facility. LPA will cite for failure to inform the department within 30 days of the administrator change. This poses a potential risk for residents in care. LAP will document deficiency and plan of correction for this.

LPA noted that the facility laundry room had an open door with open powdered laundry detergent close to the door. LPA observed a resident in a wheelchair in the vicinity. LPA was informed by the nurse that staff usually leave the door unlocked as they come and go. This poses an immediate risk to residents in care. LPA will document deficiency and plan of correction for this.

An exit interview was conducted and a copy of this report, along with LIC809-D pages, and appeal rights were reviewed and provided to Executive Director Bree Lofvendahl.