Facility Evaluation Report

Licensing Program Analyst (LPA) De Leon arrived at 9:55 am to conduct a 1 year annual visit to the facility above. LPA met with Administrator, Rachelle Tellez 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).

Physical Plant & Environment Safety: The fire extinguisher were charged and tagged. The facility has 19 resident bedrooms with ensuite bathrooms, 2 guest bathrooms and 1 staff bathroom. LPA was authorized to enter and inspect facility. The facility has smoke and carbon monoxide detectors dual and hard wired. 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 or textured bottoms. 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 stored in locked storage rooms. The facility has sufficient space inside and outside for activities and visiting. The facility has a patio with furniture and umbrella for shade and resident use. The facility has telephone and internet service for resident use.