Facility Evaluation Report

Licensing Program Analyst (LPA) Rankin arrived at 09:44am to conduct a 1 year annual visit follow-up to the facility above. LPA met Robert Martinez, Caregiver 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 Infection Control Plan on file. The facility has a sign in and out clipboard for visitors at entry with hand sanitizer. The bathrooms have toilet paper, paper towels, hand soap, and hand washing signs. 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). Trash cans and waste baskets have tight fitting covers.

Physical Plant & Environment Safety: The facility has 7 bedrooms and 5 bathrooms. The facility is occupying 2 residents. The facility locations designated for residents are clean, safe and sanitary, areas that need additional cleaning and clearing of items were noted to the administrator and caregiver. LPA was authorized to enter and inspect facility. The facility has smoke and carbon monoxide detectors. Carbon Monoxide was tested and working properly during visit. The lighting and lamps are sufficient for the use of the facility and for resident comfort. The showers have non-skid mats. Toilet, hand washing and bathing facilities are operational and secured grab bars are present. Facility was in the process of reorganizing outside area. Facility is well lit inside and outside for safety.