Facility Evaluation Report

On 09/25/2024, Licensing Program Analyst (LPA) Vado Jaime Vado conducted an unannounced annual required 1 year inspection visit. LPA met with caregiver Jeremiah Slavador and explained the purpose of today's visit. There are 2 staff present and 4 residents in the facility. According to staff there are 3 GGRC residents and 1 RCFE resident. Around 245pm the licensee met with LPA Vado at the facility.

This is a single level facility licensed for residents age range of 60 years and over all of which may be non-ambulatory and one bedridden. License is approved for 3 hospice residents. There are no residents on hospice as of this visit. The physical plant was toured inside and outside of the facility to ensure the safety of the residents. There are no video cameras on site per the caregiver. LPA observed the facility kitchen which is observed as in good working condition. Knives are stored and locked in a drawer adjacent to the sink. There is a locked cabinet beneath the kitchen sink but no cleaning supplies are present when observed. Perishable and non-perishable food supplies are observed as in place. There is an additional cabinet in the garage which stores additional canned goods and dry goods for resident and staff use. First aid kit is observed as complete with required items stored in the medication cabinet which is observed to be locked. LPA observed at least two fire extinguishers in place which are currently within operating range, combination smoke/carbon monoxide detectors are observed in place through out the facility, and central heating. A carbon monoxide detector in place located in a hallway was tested but it did not work. The facility had combination carbon monoxide/smoke detectors in place that did work. PPE is observed to be in place. Emergency exit routes are observed inside and outside to be free and clear of obstructions. LPA made observations of the exterior and observed items stored beneath the raised wooden walkway such as old bed frames, screen doors, a shopping cart, and old wheel chairs. Additionally LPA observed unlocked paint cans stored beneath the walkway. The paint cans pose an immediate health and safety risk to residents in care. Water temperature was measured in a resident bathroom at 122F and increasing during testing which poses as a health and safety issue for residents in care. In this same bathroom LPA observed cleaning solutions stored beneath the bathroom sink which poses an immediate health and safety risk to residents in care. Cleaning supplies are observed to be locked in the garage primarily.