Facility Evaluation Report

Licensing Program Analyst (LPA) Miller arrived at 9:02 am and continued with the 1-year required annual visit initiated on 8/27/24. LPA met with Audie Sherberg Administrator and Debra Gonzales, Health Services Director.

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 kiosk for visitors at entry with hand sanitizer. The facility has at least 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 extinguishers were last charged and inspected on August 21, 2024. All trash cans and wastebaskets have tight fitting covers. LPA was authorized to enter and inspect facility. The facility has smoke and carbon monoxide detectors that were tested and inspected. LPA toured 10 resident rooms and observed that rooms were tidy and free of odor. 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. The pathways are clear of any obstructions. Facility is well lit inside and outside for safety. The facility has sufficient space inside and outside for activities and visiting.