Facility Evaluation Report

Licensing Program Analyst (LPA) Christine Dolores arrived unannounced to conduct the facility's Required - 1 Year inspection. LPA met with Administrator (ADM), Lori Corral.

During visit, LPA toured the facility with ADM to include the entrance, hallways, resident bedrooms, bathrooms, storage, shower rooms, kitchen, and exterior.

All fire exit routes were free and clear of obstruction. Facility temperature maintained between 72 and 74 degrees Fahrenheit. Fire extinguisher last serviced on 08/31/2023. Carbon monoxide detector present in the facility.

The main entrance is equipped with hand sanitizer, masks, and a lidded trash bin. Posters observed to include infectious disease prevention signs, visitation guidelines, facility license, personal rights, rights of resident council, evacuation plan, emergency phone numbers, if you see something say something, and ombudsman information.

13 out of 13 resident bedrooms contained beds, clean linens, adequate lighting, dresser, night stand, and chair. Shower room water temperature maintained at 122 degrees Fahrenheit. Suite #7 bathroom water temperature maintained at 116 degrees Fahrenheit.

Kitchen observed with at least 2 days worth of perishables and at least 7 days worth of nonperishable foods. 2 out of 2 refrigerators temperature maintained at 39 degrees Fahrenheit. Freezer #1 temperature maintained at 0 degrees Fahrenheit. Freezer #2 temperature maintained at 15 degrees Fahrenheit. During visit, the facility's maintenance personnel began to repair the freezer. All foods were checked and re-located.

LPA observed the activities calendar and menu was posted near the activity room and dining room. During visit, residents observed watching a movie in the dining room and participating in exercises in the activity room. SEE LIC809-C.