Facility Evaluation Report

Licensing Program Analyst (LPA) Miller arrived at 10:00 am to conduct a 1 year annual visit to the facility above. LPA met with Administrator, Gerardo Sanchez 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 sprays and cleaners. The facility has a 30 day supply of PPE. Quarantined or isolated individuals will have meals and medication delivered to room. Staff are trained on infection control and the use of Personal Protective Equipment (PPE). All trash cans and wastebaskets have tight fitting covers.

Physical Plant & Environment Safety: The facility has 4 resident bedrooms, 3 Staff bedrooms and 2.5 bathrooms. Facility currently occupies 4 residents and employs 2 full time staff and 1 one back up staff. LPA was authorized to enter and inspect facility. The facility has smoke and carbon monoxide detectors that were tested and working properly during visit. 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 locked under sink, in garage or locked in outdoor sheds.