Facility Evaluation Report

Licensing Program Analyst (LPA) Simi Rai conducted an unannounced case management visit and met with Administrator (ADM) Debbie Aguilar. LPA Rai stated the purpose of the visit and conducted a health and safety check at the facility.

On April 12, 2024, the Department received an in incident report stating resident, R1 sustained burn injuries after a fire incident at the facility. R1 was transported to the hospital via ambulance.

During visit, LPA Rai toured the inside and outside of the facility. When touring the outside area of the facility, the exits were cleared of obstruction. LPA Rai observed construction materials in the backyard. Staff (S1) stated they replaced the flooring in the resident bathroom and the materials will be disposed this afternoon.

LPA Rai toured the facility kitchen and observed food supply of at least 2 days of perishable food and at least 7 days of nonperishable food. During the tour of the kitchen, LPA Rai observed a cabinet with locking capability which is where the facility staff lock the sharps, such as knives. LPA Rai observed the cabinet unlocked during the visit. LPA Rai observed the kitchen was not being used by staff to prepare food and no staff were observed in the kitchen. Staff S1 locked the cabinet during visit.

During the tour of the laundry room, LPA Rai observed a cabinet with locking capability which is where the facility staff lock the chemical solutions, such as laundry detergents. LPA Rai observed the cabinet unlocked during the visit. LPA Rai observed the laundry room was not being used by staff and no staff were observed in the laundry room. Staff S1 locked the cabinet during visit.