Facility Evaluation Report

Licensing Program Analyst (LPA) Manuel Monter and Marcela Yanez conducted an unannounced annual inspection visit, and met with ADM Thelma Ruiz . During the visit, LPA observed 6 residents and 2 staff. LPA explained the purpose of the visit.

LPA toured the facility inside out with S1 which included the Living room, kitchen, dining room, 1 restrooms and 4 residents bedrooms. The staff area of the facility was also inspected. The front yard and backyard were inspected. There was no obstruction to block the walkways.

During the visit, LPA asked staff S1 and S2 there names. LPA's checked staff S1 and S2's names on the LIS536 and their names did not appear on the list. LPA's checked S1 and S2's names on Guardian and their names are not associated with the facility. Based on record review S1 and S2 began working at the facility on June 27, 2024.

While touring the facility kitchen, LPA's observed over 2 dozen ants on the counter top and directly next to the facility kitchen sink. (Photographs were taken.) ADM stated she is planing on cleaning and has not hired a licensed professional for treatment.

Two-day perishable food supplies and seven day nonperishable food supplies were observed. LPA observed the medication storage area, knives storage area, and cleaning product storage area as locked and inaccessible to residents in care. Room temperature was at 80 degrees F, and hot water temperature was measured at 105 degrees F in both resident bathrooms.