Facility Evaluation Report

Licensing Program Analyst (LPA) Manuel Monter conducted an unannounced annual inspection visit, and met with Staff S1, Winnie Rodriguez. During the visit, LPA observed 9 residents and 1 staff. LPA explained the purpose of the visit.

Staff S1 contacted ADM via phone call. ADM stated she would not be able to meet LPA at facility because she is working. LPA asked ADM how many hours she spends at the facility a week. ADM stated she spends 6-7 hours at the facility each week.

LPA toured both homes, 129 and 135, inside out with S1 which included the Living room, kitchen, dining room, 3 restrooms and 5 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.

Two-day perishable food supplies and seven day nonperishable food supplies were observed. Room temperature was at 72 degrees F, and hot water temperature was measured at 108 degrees F in resident bathrooms.

While touring bath #1, LPA observed a container of bleach on the floor. LPA also observed dirt and grime on the side of the sink. (Photograph was taken.) LPA also observed the mirror above the sink had stains. LPA also observed the kitchen sink, toilet and shower had stains. LPA observed the shower in bath #1 had an opening. (Photographs were taken.)

While touring resident bedroom #2, LPA observed two holes exposing the inside of the wall, near a residents bed. (Photograph was taken.).