Facility Evaluation Report

On 2/22/24 Licensing Program Analyst (LP) Maja Jensen arrived at facility unannounced to conduct a required one year annual visit. LPA Jensen met with Administrator Ana Guerrero and explained the purpose of today's visit.

LPA Jensen toured the grounds and observed them to be well maintained. All paths were free of obstruction. There are no bodies of water on the premises. There is outdoor furniture for resident activities with shade available. LPA Jensen toured the physical plant. The facility is a single story building with 4 bedrooms. There are 2 double occupancy rooms and 2 single occupancy rooms. The facility was observed to be sanitary and free of odor. There was adequate furnishings and lighting throughout. The facility maintains an adequate supply of linens. All furniture was observed to be in good repair.

LPA Jensen inspected the kitchen and observed all knives to be locked and inaccessible to residents in care. There was in excess of a 2 day supply of perishable food and a 7 day supply of non-perishable food. Food in the refrigerator was labeled with the date opened. There was no expired food product observed. Lunch service was provided during the course of this inspection and residents received different lunches according to each individual's preference. There was fresh fruit and vegetables available.

LPA Jensen tested the carbon monoxide detector and observed it to be good working order. The smoke detectors were also observed to be in good working order. The fire extinguisher was last serviced in August of 2023 and is in compliance. The first aid kit was observed to be complete. Fire drills are conducted and logged in compliance with regulation. The Emergency disaster plan was posted and in compliance. All required postings were prominently displayed. The facility maintains an emergency supply of water and lighting. The infection control plan has been submitted and is in compliance.

LPA Jensen conducted interviews with 2 residents, both who were satisfied with the care they receive and the accommodations. LPA Jensen interviewed 1 staff member who was able to respond to all questions appropriately.