Facility Evaluation Report

Licensing Program Analyst (LPA's) Miller and De Leon arrived at 10:55 am to conduct a 1 year annual visit to the facility above. LPAs met with Administrator Lita Lazo and 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 a current Infection Control Plan. The facility has a sign in and out binder for visitors at entry with hand sanitizer. The bathrooms have toilet paper, paper towels, hand soap, and hand washing signs. The facility has EPA approved disinfectant 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). The window blinds throughout the facility need to be cleaned. All trash cans and wastebaskets have tight fitting covers. The bathroom walls need cleaning as well as dusting of cobwebs, spiders and ants.

Physical Plant & Environment Safety: The kitchen cabinets and ceiling near the stove need cleaning due to grease splatter. The fire extinguishers were last charged and inspected on October 28, 2022. They are charged, but Administrator called to have extinguishers re-tagged. The facility has 6 resident bedrooms, 1 staff bedroom and 3 bathrooms currently occupying 5 residenst and employs 2 full time live in staff.

and 2 Administrators. LPA was authorized to enter and inspect facility. The facility has smoke and carbon monoxide detectors. The lighting and lamps are sufficient for the use of the facility and for resident comfort. Toilet, hand washing and bathing facilities are operational and secured grab bars are present. The showers have non-skid mats. 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 and locked under sink and locked garage. The facility has sufficient space inside and outside for activities and visiting. The facility has an fenced backyard for client use with plenty of shade. The facility has telephone and internet service for resident use.