Facility Evaluation Report

Licensing Program Analyst (LPA) Maria (Mita) Partoza a conducted an unannounced required 1 year inspection visit and met with administrator Daniel John Francisco and stated the purpose of the visit.

The facility is licensed to serve adults 60 and over. 1 may be bedridden and hospice waiver for 6. 3 Out of 5 are under hospice care. 5 Out of 5 are non-ambulatory, 4 out of 5 have neurocognitive disorder. LPA observed 5 residents and 4 staff were present at the facility at time of the visit.

At 2:15 p.m. LPA toured the facility inside and outside with staff 1 (S1) including but not limited to the kitchen, bathroom, dining room, living room, 5 residents rooms, garage, backyard and exterior walkways. The temperature inside the home was at 72 degrees Fahrenheit.

The kitchen was observed to be sanitary and organized, knives and sharps were locked and not accessible to residents. LPA observed 2 days of perishable food and 7 days of non-perishable food. Under the sink cabinet is used to store cleaning supplies and locked and not accessible to residents. The kitchen water temperature measured at 111.7 degrees Fahrenheit.

The facility is maintained, sanitary and organized. The bathroom/s are equipped with grab bars, non-skid mats. The water temperature in the bathroom measured at 112.8 degree Fahrenheit. Resident's room (R1 to R5) have sufficient storage.

LPA observed that medications are kept locked and inaccessible to residents. The first aid kit is complete and is accessible to staff.