Facility Evaluation Report

Licensing Program Analysts (LPAs) Christi Coppo and Jacqueline Macias arrived unannounced to conduct a required Annual inspection and was greeted by caregiver. LPA contacted Administrator who was out of town but had limited availability by phone. Administrator gave caregiver permission to sign report. Facility contact information was reviewed.

At approximately 9:30am, LPAs and caregiver toured the building and grounds. The facility was found to be at a comfortable temperature. LPAs and caregiver observed the kitchen sink leaking and water pooling on the floor underneath. LPAs observed a water soaked towel underneath a basin that was placed under the sink to collect the leaking water. Space for dishwasher observed to have black film, brown staining, and green film and rodent poison pack (deficiency cited, see 809D) . LPAs observed at least a 2 day supply of perishable and 7 day supply of non-perishable food. Food was not found to be stored in a safe manner with open items covered. Cereal bags were wide open, not labeled with opened date. Tortillas not stored in an air tight container. 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 in good repair. Extra hygiene products and linens were available. Water temperature in sinks accessible to residents in care measured at 127 degrees F which is not within the allowable range of 105 to 120 degrees F. (deficiency cited, see 809D). LPA observed common towels. Caregiver explained behaviors around towels, residents prefer towels. LPA explained the regulation and that the facility must ensure no common towel use. LPA suggested using paper towels.

At approximately 10:30am LPAs and caregiver observed rodent traps in the garage, with peanut butter lure present. LPAs observed rodent droppings near traps and on shelving ( deficiency cited, see 809D ). LPA observed freezer in garage to have several jugs of frozen milk with expired best if used by date. Loaf of bread and a pack of hot dog buns had ice crystals present throughout the bag.