Facility Evaluation Report

Licensing Program Analyst (LPA) Manuel Monter conducted an unannounced annual inspection visit, and met with staff member, Severino Sanchez, S1. Administrator Allan Cease arrived later during inspection. During visit, LPA observed 2 residents and 1 staff.

LPA toured the facility inside out with S1 which included; the Living room, kitchen, dining room, 2 restrooms. While touring the facility hallway restroom, LPA observed two spray bottles with cleaning solutions, Mold and Mildew stain remover & Shout. (Photographs taken.) LPA toured the 3 resident bedrooms. LPA observed bedroom #2 does not have its sliding door screen.( Photograph taken.) LPA observed bedroom 3's window screen also has stains and residue. (Photographs taken.) The staff area of the facility was also inspected. Front yard and backyard were inspected. LPA observed a shed directly across from bedroom #4. LPA asked S1 to open the door. S1 stated he/she sometimes rests in the shed. LPA observed a mattress, pillow, blankets, cloths and medication. (Photographs taken) ADM stated he also sleeps in the shed as well. While touring the backyard, LPA observed a propane tank in a tank of green water. ADM stated the shed was added about 2 years ago during covid. There was no obstruction to block the walkways.

Two day perishable food supplies and seven day nonperishable food supplies were observed. LPA observed the medication storage area, and cleaning product storage area as locked and inaccessible to residents in care. ADM showed LPA the knives storeage area. Knives are being stored outside the kitchen, inside the lower portion of the black stove. The lower portion of the black stove does not have a locking mechanism, leaving the knives accessible to residents in care. (photographs taken.) Room temperature was at 70 degrees F, and hot water temperature was measured at 116 degrees F in resident bathroom.