Facility Evaluation Report

Licensing Program Analyst (LPA) Cuadra arrived unannounced to conduct an Annual Required Inspection and met with Licensee, Eufrasia "Oliva" Arizmedi . Required postings were observed.

LPA/Licensee initiated a tour of the facility at 1:00 pm and made the following observations: Facility was a comfortable temperature and passageways were free from obstructions. Resident rooms were furnished per regulation. Water temperature in resident's bathroom measured at 113.5 and 115.2 degrees F which is within allowable range of 105 to 120 degrees F. Extra hygiene products and linens were available. Bathrooms had required grab bars. Kitchen cabinet containing cleaning supplies was locked. Medications were centrally stored and locked. Fire extinguisher charged and serviced as of December 2023. Smoke/Carbon Monoxide detectors located throughout the facility were tested and operational. Exit doors have auditory alerts that were functional at time of visit. Last disaster drill was conducted on 12/27/23. Facility has at least two days of perishable and one week of non-perishable foods.

File review was initiated at 1:30 pm. Three staff files and four resident files were reviewed. One out of four residents (R1) care plan needs to be updated. Medical assessments were updated for all residents. One out of three staff (S1) do not have required First Aid and CPR certificate updated. All staff have received additional annual training hours required. Administrator's certificate for administrator Eufrasia O Garcia 6049916740 expires 10/15/2024.

At approximate 2:00pm LPA/Licensee conducted a spot of medications and their records were reviewed. However, two out of four resident's (R1 & R4) medications were not entered into the Centrally Stored Medication log (CSML). Per Licensee, R4 might leave the facility, so they have not entered their medication into the log yet, but they ensured that R4 had been assisted with their medications. LPA/Licensee discussed the importance and requirement of entering all resident's medication into the CSML accordingly upon resident's admission to the facility.