Facility Evaluation Report

On 11/8/24 Licensing Program Analyst (LPA) Maja Jensen arrived at facility to conduct a required one year annual visit. LPA Jensen spoke with the Licensee by telephone and met with Abigail Rivera and explained the purpose of today's visit.

LPA Jensen toured the exterior. The front yard was maintained and all paths were free of obstruction. The back yard has a wooden deck and covered patio with furniture that includes a cloth sofa with a hole in the upholstery that is approximately 12 inches by 2 inches. There is a tin can that has been re-purposed as an ashtray next to sofa. Multiple clients were observed smoking in this area. There is also a cloth sofa on the ground in the backyard with more than 50 burn holes in it that appear to be from cigarettes and a plastic Foldgers coffee tub next to it that is being used as another ashtray. The side of the wooden deck has a wood pile and several cigarette butts littered on the ground next to a wooden fence. There is a shed in the backyard that is locked. The care staff that were present stated that they do not have the keys to the shed. LPA Jensen reached the Administrator by telephone and Elizabeth Rivera advised that the key is currently with her and she is unable to bring it to the facility on this day. The Administrator stated that the shed only contains her own personal belongings. The side yard was cordoned off with a broken screen and had debris piled up including wood piles, broken children's bicycles, exercise equipment, lawn mower, rubber belts, dust pan, plastic crates and chairs amongst other items that appeared inoperable. A deficiency is being cited as the these observations present a safety risk for fire. Please refer to LIC 809D.

LPA Jensen toured the interior. The thermostat was set at 72 degrees for the comfort of the residents. There are night lights available in the hallway. The fire extinguisher was last serviced in February of 2024 and is in compliance. The carbon monoxide detector and smoke detector were tested and determined to be in good working order. The first aid kit is complete. Continued on LIC 809C...