Facility Evaluation Report

Licensing Program Analyst (LPA) De Leon arrived at 10:00am to conducted a 1 year annual visit to the facility above. LPA met with Licensee Steve Rodriguez and Administrator Francyn Altamira. LPA explained the purpose of the visit.

A tour of the inside and outside of the facility was conducted. The following was inspected and noted during the annual visit:

Infection Control: The facility has submitted a current Infection Control Plan to the department. The facility has a sign in and out binder for visitors at entry with hand sanitizer. The bathrooms have toilet paper, paper towels, and hand soap. The facility has EPA approved disinfectants spray and cleaners. The facility has a 30 day supply of PPE. Quarantined or isolated individuals will have meals and medication delivered to rooms. Staff are trained on infection control and the use of Personal Protective Equipment (PPE).

Physical Plant & Environmental Safety: The facility is a 4 bedroom and 3 bathroom currently occupying 2 residents and employs 5 staff, 1 live-in Licensee, and 1 Administrator. The facility is clean, safe and sanitary. LPA was authorized to enter and inspect facility. The facility has smoke and carbon monoxide detectors. Carbon Monoxide was tested and working on visit. The lighting and lamps are sufficient for the use of the facility and for residents comfort. The facility kitchen is clean, safe and sanitary. The showers have non-skid mats. Toilet, hand washing and bathing facilities are operational. The water was tested in residents restroom at 109.78 F and 118.3 at the kitchen sink. Water temperatures were within regulation requirements. The pathways are clear of any obstructions. Facility is well lit inside and outside for safety. Disinfectant, cleaning solutions and poisons are inaccessible to residents in care locked in laundry room cupboards and under the kitchen sink. The facility has sufficient space inside and outside for activities and visiting. The facility has telephone and internet service for resident use.

Operational Requirements: The facility has a current plan of operation on file with the department. The Facility is operating in compliance with the granted fire clearance. The facility is approved for a capacity of 4 Ambulatory residents. Continued 809-C