Facility Evaluation Report

Unannounced annual visit conducted on 04/06/2023 by Licensing Program Analyst, (LPA) Charlie Yang, who was met by the facility designated Administrator, Valeria Orozco, who was briefly interviewed at this time. Census at this time was 48 residents. It was learned that there weren't any residents under the care of home health or hospice at this time.

Tour of this facility was conducted alongside the facility designated Administrator Valeria Orozco.

Fire extinguishers were last inspected on 08/12/2022 by the local fire extinguisher company, Gateway Fire Equipment, and observed to be in compliance at this time.

The designated Administrator Certificate for Valeria Orozco, #6064194735 was recently updated and will expire on 09/21/2024.

LPA observed that all resident medications and logs were stored in the medication area adjacent to the dining area. This area was closed off and made inaccessible to the residents at this time. Policies and procedures were discussed with the medication technicians who were present in regards to handling, dispensing, and documentation of the resident medications.

A sample of resident bedrooms was reviewed and all were found to contain furnishings and lighting to be in compliance at this time.

Resident restrooms were toured. Hot water temperatures were taken to make sure that they were within the allowed range of 105-120 degrees at all times.

It was observed that the laundry room was kept locked and made inaccessible to the residents at this time.

The kitchen area was toured and LPA found that all sharps were secured in a locked drawer. Residents do not have access to the kitchen and it was kept locked when staff were not present.

It was observed at this time that the majority of food supplies were stored in a separate building with a pantry, commercial refrigerators and freezers.

There was an adequate supply of 7 day non-perishable and 2 day perishables at this time.

It was observed that the majority of the heavy linens, blankets, and resident belongings were washed in this area of the facility.