Facility Evaluation Report

Licensing Program Analysts (LPA) Katrina Walters conducted an unannounced post-licensing inspection on 06/23/2022. LPA met with Administrator, Charmaine Mendaros.

During today’s visit LPA observed the following items:

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

· Lockable separate cabinets for toxin and knives.

· 4 smoke detectors and 1 carbon monoxide detector, which were tested and observed to be operational. Auditory devices were turned on during inspection.

· Fire Extinguisher charged and last serviced on 06/14/2021

· Emergency plan/numbers, CCLD complaint poster, Emergency Disaster Plan, Client personal rights and visitor policy.

· Bathrooms were supplied with hand washing supplies, paper products and signs to demonstrate proper hand washing techniques. Grab bars and non-slip mats were in the bathroom for resident safety.

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

· Supply of linens, incontinence products, hygiene supplies and personal protective equipment were available.

· Administrator Certification (expires 12/12/2022); Required postings (Personal Rights,

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

· Resident's medication was centrally stored and locked.

· Facility records were reviewed for residents and staff. Staff have CPR and 1st Aid certifications. Training on infection control and dementia. Vaccination cards were stored in staff files.

No deficiencies cited during today's inspection

Exit interview conducted with Administrator, Charmaine Mendaros, whose signature below confirms receipt.