Facility Evaluation Report

Licensing Program Analyst (LPA) Christine Dolores arrived unannounced to deliver the findings for complaint 26-AS-20201027115321. During visit, violations were observed therefore a case management - deficiencies visit was conducted. LPA met with Administrator (ADM), Cecilia Eustaquio.

During visit, LPA toured the facility with ADM. LPA observed all the fire extinguishers were last serviced in May 27, 2020. ADM shrugged her shoulder and stated to have forgotten to get their fire extinguishers serviced. At the end of the visit, ADM states she has contacted her son, Merv who will schedule an appointment to service the fire extinguishers.

LPA and ADM entered the kitchen area. LPA observed multiple flies in the kitchen and throughout the facility. ADM states she was not sure why there are many flies but states she's trying to exterminate them with a fly swatter and pesticide spray. Upon arrival, LPA observed the front screen door was wide open. LPA observed the facility keeps their front door wide open and observed the front screen door does not completely close shut.

LPA observed accessible laundry detergents and cleaning supplies underneath the kitchen sink. ADM states there's supposed to be a chain to lock the cabinets but it was removed. During visit, staff (S1) installed a lock for the cabinet. LPA walked through the hallway and observed a closet that had cleaning supplies was not locked. ADM immediately locked the closet.

LPA observed a cabinet in the kitchen that contained the ADM's medications were not locked nor did the cabinet contain a lock. The resident's medication cabinet was observed locked. SEE LIC809-C.