Facility Evaluation Report

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

During visit, LPA toured the facility with the Administrator to include the kitchen, living room, dining room, resident bedrooms, bathroom, garage, storage unit, and exterior. The storage unit and garage are used for storage items. All fire exit routes were free and clear of obstruction. There was 1 staff and 1 resident present. Staff is fingerprint cleared and associated to the facility.

Facility temperature maintained at 71 degrees F. Resident bedrooms equipped with individual beds, linens, night stands, closet space, and adequate lighting. Resident (R1)'s bed is equipped with half bed rails. Facility was unable to produce the physician's report for the use of half-bed rails for resident (R1). Administrator states R1 uses the half bed rails for mobility. Bathrooms supplied with hygiene products and paper supplies. LPA Dolores did not have a water thermometer during visit. LPA measured the hot water temperature in the bathroom using the facility's water thermometer, which measured at 113 degrees F. Kitchen refrigerator temperature maintained at 32 degrees F and freezer temperature at 0 degrees F. Facility has at least 2 days worth of perishables and 7 days worth of non-perishable foods.

Facility has an infection control plan. LPA observed PPE supplies to include gloves, gowns. Fire extinguisher last serviced on 01/09/2024. Facility has a smoke detector, the last fire inspection was completed in March 2024. See LIC809-C.