Facility Evaluation Report

Licensing Program Analyst (LPA), Farhaan Sarangi arrived unannounced at Elsa's Home for the purpose of conducting a Required 1 year inspection. LPA was greeted at the door by, Caregiver Marcia Avila and was granted access into the facility. Currently, the facility is Fire Clearance approved to care for 5 Non-Ambulatory residents. However, during the review of an LIC 602, LPA observed that 1 out of 5 resident files had a status of Bedridden (See 9102-Technical Violation). Administrator and Licensee were contacted via telephone and both understood that the facility needs to seek a Bedridden Fire Clearance first before admitting a resident into the facility. LPA explained the process of seeking a Bedridden Fire Clearance for the purpose of updating the facility license.

LPA toured the facility with the Caregiver. LPA observed the facility was found to be clean and at a comfortable temperature with all exits free from obstruction. Fire Extinguisher was found to be last charged on February 1, 2023 at the time of the inspection. All smoke detectors and carbon monoxide detectors sound directly to the fire station. Water temperature in residents bathroom measured at 148.6 degrees, 146.4 and 142.1 which is not an acceptable range of 105 to 120 degrees F (See 9102-Technical Violation) . There was sufficient perishable and non-perishable foods located in the kitchen. There are special provisions made for individuals with special dietary needs. Food menu was presently available for viewing during the inspection. Medications were centrally stored and locked. Cleaning products and other toxins are located in the laundry room that was locked and inaccessible to residents in care. There was a supply of Linens, cleaners, hygiene products and paper products available for residents. All bathrooms designated for residents in the common areas at the facility were supplied with individual paper towels and hand soap. Bathrooms in resident’s rooms have a towel and soap. Bathrooms were equipped with necessary grab bars, and non-slip floors/mats were present. A tour of all residents bedrooms were conducted, and bedrooms inspected have lighting and appropriate furnishing.