Facility Evaluation Report

Licensing Program Analyst (LPA) Cuadra arrived unnanounced to conduct a Required Annual Inspection and met with Alberto Aparicio (caregiver). Pamela Johnson (Licensee) was not able to come to the facility, but was available by phone and gave authorization for staff to sign the report. There is currently no residents in hospice and residents with a diagnosis of dementia. Required postings were observed. All fees are current as of this time.

LPA/staff toured the facility grounds inside and outside and made the following observations: Facility was a comfortable temperature with thermostat reading at 78 degrees F. Passageways were free from obstructions. Resident rooms were furnished per regulation. Extra hygiene products and linens were available. Bathrooms had required bath mats and grab bars. Medications were centrally stored and locked. Fire extinguisher was last inspected May 2023. Smoke and Carbon Monoxide detectors were tested during inspection and operational. Exit doors have auditory alert system that were functional at time of visit. Last Disaster Drill was conducted on June 16, 2023. Licensee agreed to conduct a disaster drill every quarter as stated per regulation. A technical advisory will be issued. Cleaning supplies were not accessible to residents in care. Knives are located in a locked closet in the kitchen. Facility has at least two days of perishable & one week of non-perishable foods.

At approximate 9:00am LPA/staff observed water temperature in resident's bathrooms measured at 121.1, 121.5 & 121.6 which are not within allowable range of 105 to 120 degrees F in faucets used by residents.