Facility Evaluation Report

Licensing Program Analyst (LPA) Maria (Mita) Partoza conducted an unannounced required 1 year inspection visit, met with Administrator Isabel Eslava and stated the purpose of the visit.

The facility is licensed to serve adults 60 and over, 5 non-ambulatory and 1 bedridden. The facility has 2 hospice waiver.

LPA toured the facility with ADM, inside and outside including but not limited to the kitchen, dining, 4 resident bedrooms, 2 staff room, 2 bathrooms used by the resident and staff and laundry area. Bathroom are equipped with grab bars and anti slip mats.

LPA observed 6 bedrooms, 4 Out of 6 bedrooms are used by resident and 2 Out of 6 bedroom are used by staff. 6 Out of 6 bedrooms have functioning lights, a chair, clean bedding, storage space for personal belongings of residents. 1 Out of 6 resident is under hospice care, 3 out of 5 are non-ambulatory and 2 Out of 6 are ambulatory. 2 Out of 6 bedroom are shared and 4 out of 6 are not shared. LPA observed the laundry area and chemicals are locked and inaccessible to persons in care.

LPA observed that the dining room and kitchen are organized and sanitary. LPA observed 2 days of perishable food and 7 days of non-perishable food. LPA observed the sharps and chemicals are stored in a locked cabinet under the sink. The medication cabinet is locked and inaccessible to residents.