Facility Evaluation Report

On 02/21/2024, Licensing Program Analyst (LPA) Arielle Pascua arrived to this facility unannounced to conduct a quarterly non-compliance visit. LPA was greeted by House Manager (HM), Andrea Rush and explained the purpose of the visit. LPA asked that HM Rush call the Facility Designated Administrator, Norma Borges, to inform them that CCL was present at this time. FDA Borges arrived at the facility at 11:04am.

Current Census was 3. 1 out 3 residents were observed to be outside in the sun sleeping. 2 out 3 residents were out at their respective day program.

The purpose of this visit is to conduct a quarterly visit in response to a Non-Compliance meeting that was conducted with the facility on 07/11/2023.

LPA reviewed 3 resident files. LPA reviewed 3 staff files. It was observed that 2 out 3 staff files reviewed did not have a current TB test on file.

LPA reviewed Medication Records for all residents.

It was observed that the facility thermometer was not turning on at the time of the visit. The facility called Home shield at the time of the visit to set an appointment to fix the thermometer.

LPA toured 3 resident bedrooms. One resident bedroom is a share bedroom with an adjoining bathroom. All furniture and furnishing was observed to be in compliance at this time. LPA reviewed food supply to ensure that the facility had a 2-day perishable and 7-day nonperishable food supply. LPAs observed laundry room where it was observed that detergent, laundry room and all cleaning supplies were locked and made inaccessible at this time. Knives were observed to be locked and made inaccessible. A tour of the bathrooms were conducted, hot water temperature was taken to ensure regulatory requirements. A tour of the living room, garage, office, and all other areas intended for resident use was conducted.