Facility Evaluation Report

Licensing Program Analyst (LPA) Araceli Canela arrived unannounced to conduct an Annual Required 1 Year inspection and met with Administrator, Suzette Tawzar.

Upon arrival, LPA observed that staff continue to wear masks per current guidance. LPA initiated a tour of the facility and made the following observations: Facility was a comfortable temperature and passageways were free from obstructions. Residents rooms were furnished per regulation. Water temperature in bathrooms measured at 112 and 117 degrees F which is within the required allowed regulation range of 105 to 120 degrees F.

Extra hygiene products and linens were available. Cabinet containing cleaning supplies was 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 were centrally stored and locked.

Fire extinguisher were last inspected March 3, 2023. Smoke and Carbon Monoxide detectors located throughout the facility were tested and operational. Exit doors have an auditory alarms to alert staff, if a door is opened.

Three staff files and 3 resident files were reviewed. Staff have required First Aid and CPR certificates but lack the required Health screenings and required staff training. Administrator Certificate for, Suzette Tawzer expires 12/27/2023.