Facility Evaluation Report

Licensing Program Analysts (LPAs) Karina Canela and Karen Lopez conducted an unannounced post-licensing inspection on 08/26/2021. LPAs met with Administrator Princess Diana Silverio. LPAs observed 3 residents in care. LPAs discussed Emergency Disaster Drills to be conducted every 3 months.

During today’s visit LPAs observed the following items:

· COVID-19 postings and screening station at entrance. LPA's were screened prior to entering.

· Lockable separate cabinets for toxin and knives.

· 12 hardwired combination smoke and carbon monoxide detectors, which were tested and observed to be operational

· First Aid kit, night-lights, and flashlights for emergency lighting

· Supply of linens, paper products, and hygiene supplies available

· Grab bars and non-slip mats in 2 of 2 bathrooms.

· Required furnishings in all 6 resident bedrooms

· A shed in the backyard used for storage

· Administrator Certification (expires 09/11/2021); Required postings (Personal Rights, Emergency plan/numbers, CCLD complaint poster, Emergency Disaster Plan, Client personal rights and visitor policy).

· Water temperature was tested and within regulation of 105 to 120 degrees F

· Resident's medication was centrally stored and locked.

· Facility records were reviewed for residents and staff. Staff have CPR and 1st Aid certifications.

No deficiencies cited during today's inspection

Exit interview conducted with Administrator, Princess Diana Silverio, whose signature below confirms receipt.