Facility Evaluation Report

On 11/15/2022, Licensing Program Analyst(LPA) Murial Han conducted an unannounced annual inspection. LPA was greeted by administrator, Cesar Herrera. LPA explained the purpose of the visit.

LPA toured facility and grounds. No accessible bodies of water or fire safety hazards observed. Infection control practices are reviewed: entry procedures, staff training and policies, resident and staff daily monitoring records, containment strategies.

During the inspection, there were 9 residents (5 female and 4 male). There are 3 rooms on 1st floor and 4 rooms on the 2nd floor. The shared room beds observed to be 6" apart or 3 feet apart with head-to-toe orientation. PPE supply and the environmental cleaning supply are adequate, bathrooms are equipped with liquid soap and paper towels, hand washing instruction is posted by the hand washing stations. Trash cans are observed with closed lid. COVID-19 signs are posted in the facility.

Medications, toxins and sharps are stored appropriately and inaccessible to resident, a comfortable temperature is maintained, lighting is sufficient for comfort and safety and food supply was checked and observed to be sufficient. First-aid kit is inspected and complete.

No deficiency cited today. This report is discussed with the administrator. A copy is provided.