Facility Evaluation Report

On 8/4/2023, Licensing Program Analyst (LPA) Tobola conducted an unannounced Annual Required – 1 yr. Inspection for this facility and was greeted by Lead Staff/Registered Nurse (RN), Carlo Vera and Sheila Rafols. The facility currently provides care for 4 clients, all of which were present at the time of visit.

LPA continued with a tour of the facility with RN; facility was found to be clean and at a comfortable temperature. Client’s bedrooms, common areas, kitchen & food storage areas were inspected. Fire Extinguishers were found to be last charged on 7/21/2023. Smoke and carbon monoxide detectors were inspected by an outside agency as of April 2022. LPA requested for Administrator to contact the inspection agency and determine whether a new inspection is required. Technical Advisory. There was a sufficient amount of food supply meeting client special provisions based on dietary needs. There was an ample supply of linens, hygiene and medical products available for clients located in the garage. All client’s bedrooms have proper lighting. LPA toured the backyard and found one emergency exit to be free from obstructions.

Water was tested at faucets accessible to clients and measured 105.2 degrees F which falls within Title 22 regulation. Sharps, cleaning supplies and other items that could pose harm if accessible to client in care were found to be secured in the kitchen areas and are inaccessible to clients. Bathrooms were equipped with necessary grab bars, and non-slip floors/mats. Medications are located in a designated medication room secured in locked cabinets and medication carts. Spot check of medication administration and centrally stored medication records were found to be in order. In addition, LPA conducted a file review for all clients and found all medical and care plan documentation up to date.