Facility Evaluation Report

Licensing Program Analyst (LPA) Christine Dolores arrived unannounced to conduct the facility's annual required - 1 year inspection. LPA met with Administrator, Remedios Bose.

LPA toured the facility with staff to include the resident bedrooms, staff bedrooms, bathroom, living rooms, kitchen, laundry room, and backyard. All fire exit routes are free and clear of obstruction. Facility staff present are fingerprint cleared. In-ground pool in the backyard observed locked and fenced. The in-ground pool does not contain water.

Facility temperature maintained at 71 degrees Fahrenheit. Fire Extinguisher last serviced on 06/20/2023. Facility has a carbon monoxide detector. Sharp objects observed secured. Medications observed in a locked cabinet. Chemicals, disinfectants, and toxins observed locked. Facility has at least 2 days worth of perishables and 7 days worth of non-perishable foods. Freezer temperature maintained below -18 degrees Celsius. Refrigerator temperature maintained at 3 degrees Celsius.

Resident bedrooms observed clean and well-kept. Bedrooms equipped with beds, linens, dressers, closet space, adequate lighting, and night stands. Bathroom hot water temperature maintained at 116 degrees Fahrenheit. Toilets and shower observed clean and sanitary. Shower observed with a non-slid mat.

Facility has an emergency disaster plan. LPA observed the residents grab-and-go backpacks. Facility conducts emergency disaster drills quarterly and the last drill was conducted on 03/10/2024. LPA observed a first aid to be complete and emergency lighting. Facility has an infection control plan. Personal Protective Equipment (PPE) supplies observed to include gowns, shields, N95 masks, and hand sanitizers. SEE LIC809-C.