Facility Evaluation Report

Unannounced annual visit made out to this facility on 06/21/2023 by Licensing Program Analyst (LPA) Charlie Yang who was met by the facility live-in caregiver, Jaime Velasquez, who was briefly interviewed at this time.

This LPA requested that the facility caregiver go ahead and contact the facility designated Administrator, Michelle Jangar, to inform her that CCL was present at this time. It was learned that the facility designated Administrator stated that she would take her at least (2) hours before she would be able to attend the annual visit with this LPA today. It was decided that all forms and documents would be signed and received by the facility live-in caregiver, Jaime Velasquez, in lieu of the facility designated Administrator.

It was learned that there weren't any residents under the care of home health at this time. There weren't any residents under the care of hospice at this time.

Kitchen area was toured. Cabinets and drawers were reviewed. Drawers and cabinets housing cleaning supplies were observed to be locked and made inaccessible to the residents at this time.

Dining room, living area, and all other areas designated for resident use were observed to be maintained and observed to be in compliance at this time.

A tour of the resident bedrooms was conducted. Furniture and furnishings were observed to be present and maintained in compliance at this time.

A tour of the resident restrooms was conducted. Grab bars and non skid mats were observed to be present and in compliance at this time.

Hot water temperatures were taken and measured to make sure that they were within the allowed range of 105-120 degrees.

Medication cabinet, located as a medication unit in the dining area, was reviewed. Policies and procedures for dispensing, handling, and overall documentation of the resident medications were discussed with the facility live-in caregiver at this time.