Facility Evaluation Report

Licensing Program Analyst (LPA) Carol Fowler arrived unannounced to conduct an Annual Required 1 Year inspection and met with caregiver Ernesto Ramirez (S1), LPA spoke with Administrator Hydee Ramirez who informed LPA that she is in Las Vegas at a conference and okayed caregiver to sign documents. Administrator informed LPA that she had clients, staff records and P&I with her and they are not at the facility. Caregiver Javoni Ramirez (S2) arrived at 10:40am.

Facility has a fire clearance for six(6) 4 ambulatory and 2 non-ambulatory clients. All six (6) smoke alarms were working properly when checked during the inspection; The facility has combined smoke alarms with carbon monoxide detector. Fire extinguisher, was not tagged as required. All exits were clear and unobstructed.

LPA toured the facility with caregiver Ernesto Ramirez. The hot water was checked at 107.6F which is within regulation. LPA observed a sufficient supply of food. The LPA observed a sufficient supply of cleaners, hygiene products, and paper products. Resident medications are locked up in a cabinet making them inaccessible to clients in care. LPA observed a sufficient supply of linen for client use. The facility has sufficient furnishings for clients use.

During the tour LPA observed the following deficiencies:

broken lock on cabinet containing staff medication

unlocked toxin (raid bug spray)(Ajax under kitchen sink)

scissors and a knife in an unlocked drawer, and scissors in a cup on top cabinet shelf

knife storage box unlocked in an unlocked cabinet

fire extinguisher on kitchen floor not tagged as required

toxins, lighter, saws, and power tools in an unlocked garage

staff and resident files are not at the facility ADM stated she has the records with her in Las Vegas