Facility Evaluation Report

Licensing Program Analyst (LPA) Christine Dolores arrived unannounced to conduct the facility annual inspection. LPA met with Licensee / Administrator (ADM), Tingxiu Li.

During visit, LPA toured the facility with ADM to include the living room, kitchen, garage, backyard, resident bedrooms, and bathrooms. Facility temperature maintained at 77 degrees Fahrenheit.

The facility has at least 2 days worth of perishables and 7 days worth of non-perishable foods. LPA observed items in the kitchen refrigerator were not labeled. ADM stated the non-labeled foods are for staff. ADM states to have another refrigerator and freezer located in the garage. LPA recommended to separate the resident and staff food. ADM stated understanding. The kitchen's refrigerator was maintained at 40 degrees Fahrenheit and freezer maintained at 0 degreed Fahrenheit.

In the kitchen area, LPA observed the disinfectants, medications, and sharp objects were not properly locked and secured. LPA observed the cabinets and drawers contain a device to secure the items, however, the device was not being used at that time. Staff attempted to place the device back on the cabinets, however, LPA was still easily able to open the cabinet and drawers. ADM states to buy a new lock for the drawers and cabinets.

LPA observed a foul odor of rotten food in the kitchen area. LPA observed 3 out of 3 facility trash bins were completely full. Staff immediately threw out the trash. LPA observed dirty trash bags along the fence of the facility. ADM states to have placed an order for a larger trash bin but the bin has not been delivered yet. LPA also observed dirty wipes an gloves next to the trash bin outside. LPA observed the garage refrigerator / freezer was dirty with dried food items. ADM states some items in the freezer are for residents and the refrigerator items were for ADM. SEE LIC809-C.