Facility Evaluation Report

Licensing Program Analyst (LPA) Rankin arrived at 9:50 am to conduct a 1 year annual visit to the facility above. LPA met facility Designee Maria Edna Alvarado and explained the purpose of the visit.

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

Infection Control: The facility has a current Infection Control Plan on file with the department. The facility has a sign in and out binder at entry with hand sanitizer. The bathrooms have toilet paper, paper towels, hand soap, and hand washing signs. The facility has EPA approved disinfectants spray and cleaners. The facility has a 30-day supply of PPE which they share with sister facility next door. 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).

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 has current liability insurance and expires on 02/23/2025. The facility is approved for a capacity of 6 non-ambulatory of which 1 may be bedridden in bedroom #1 and a Hospice waiver for 3. The facility is an RCFE approved for dementia residents.