Facility Evaluation Report

Licensing Program Analysts (LPAs) Christi Coppo and Ethel Contreras arrived unannounced to conduct a required Annual inspection and was greeted by Administrator Gideon Castro. Facility contact information was reviewed.

At approximately 10:00am LPA and Admin toured the building and grounds. The facility was found to be clean and at a comfortable temperature. LPA observed at least a 2 day supply of perishable and 7 day supply of non-perishable food. Food was found to be stored in a safe manner with open items covered. Kitchen cabinet containing cleaning supplies was locked. Kitchen drawer with sharp knives locked.

All bedrooms were equipped with lighting, night stand, and chest of drawers. All bedrooms were clean and in good repair. Extra hygiene products and linens were available. Resident bathroom did not have required bath ma t(Technical). Restrooms did have required grab bar. Facility has two water heaters. Water temperature in sink accessible to residents in care measured at 116.6 degrees F which is within the allowable range of 105 to 120 degrees F. Restroom in room six water measured at 99.01 which is not within the allowable range of 105 to 120 degrees F. Bedroom five had oxygen tanks in which 1 out of 3 were not placed in holder and not strapped to the wall (Technical).

LPAs observed Thick-It thickener stored under stairs made accessible to residents. Thickener prescribed to resident's name that does not match any current residents. Medication fridge unlocked, making medication accessible to residents. Fridge had suppositories (Bisacodyl 10mg) with resident's name that does not match any current residents. Insulin pen without a label inside ziplock bag in also in fridge . (Deficiency cited, see 809D). Medications found to be pre-poured in small plastic containers inside kitchen drawer on left hand side of refrigerator and not in its originally received container. (Deficiency cited, see 809D)