Facility Evaluation Report

Licensing Program Analyst (LPA) Manuel Monter conducted an unannounced annual inspection visit, and met with Staff (S1), Eperanza Rustia . During the visit, LPA observed 5 residents and 2 staff. LPA explained the purpose of the visit.

LPA toured the facility inside out with S1 which included the Living room, kitchen, dining room, 2 restrooms and 4 residents bedrooms. The staff area of the facility was also inspected. The front yard and backyard were inspected. There was no obstruction to block the walkways.

While touring the outside of the facility, LPA observed a two sheds in the backyard. (One with a sliding door the other a wooden door.) LPA observed the storage unit with the sliding door as locked and inaccessible to residents in care. LPA observed the wooden storage unit beside it with the door closed. Staff S1 unlocked the shed. LPA observed chemicals inside. S1 then closed the door and locked it. LPA then pulled the door knob and the door unlocked, even though it was locked. Some of the following toxics were observed in the wooden shed; paint thinner, antifreeze, paint, and Roundup.

While touring the staff area of the facility, LPA observed the staff door was unlocked. LPA saw the following; inside the staff area; Staff S1's medications and cleaning products such as Quick Shine Floor Luster & Glass Cleaner. S1 confirmed that his/her medications are in the staff room, but only forgot to lock the door.

Two-day perishable food supplies and seven day nonperishable food supplies were observed. LPA observed the medication storage area, knives storage area, and cleaning product storage area as locked and inaccessible to residents in care. Room temperature was at 75 degrees F, and hot water temperature was measured at 114 degrees F in both resident bathrooms.