Facility Evaluation Report

Licensing Program Analyst (LPA) Araceli Canela arrived unannounced to conduct an annual Required-1 year inspection and met with staff, Mila Moises, Administrator, Cheryl Davidson arrived a few minutes later. There is currently 7 clients in care and this facility is licensed for a total capacity of 9 Ambulatory clients, no approval for non-ambulatory or bedridden clients.

LPA toured facility and grounds with Care staff, Mila Moises and observed the home be at a comfortable temperature with all exits free from obstruction. Some clients rooms require a reading lamp. Water temperature in bathrooms used by residents measured at 119 degrees F which are within the range of 105 to 120 degrees F allowed per regulation. LPA went over issues with the water pressure in the rear hall shower not operating correctly and not delivering enough water. Extra hygiene products and linens were available. Cabinet in staff room containing cleaning supplies were locked. Facility has at least two days of perishable and one week of non-perishable foods which appeared to be of quality and stored per regulation. Medications are centrally stored and locked. Emergency food and water supplies are stored in office. Facility has smoke detectors located throughout the facility as well as a Carbon Monoxide detector that were operational during inspection. Most recent disaster drill was conducted March 2023. Fire Extinguishers were found to be last charged and serviced on June 22,2022.

Three staff files and resident files were reviewed and S1 was missing proof of health screening . Staff have required First Aid and CPR certificates. Administrator Certificate for Administrator, Cheryl Davidson is active.