Facility Evaluation Report

On 11/19/2022 at 9:30am, Licensing Program Analyst (LPA) Arielle Pascua arrived unannounced to conduct an annual infection control visit. LPA Pascua met with Resident Care Director (RCD), Cassandra Cooral and explained the purpose of the visit. During the meeting LPA Pascua met with the Facility Designated Administrator (FDA), Nicole Rodriguez. The current census to this facility was 80. 62 resident reside in assisted living and 18 residents in Memory Care. This facility has a dementia program on file. A brief interview was conducted with RCD Cooral. The Facility Designated Administrator has a current certificate #6001707740 and is valid until 04/30/2023.

At 9:45am, LPA Pascua initiated a tour of the facility with RCD Cooral.

The facility has a central screening point and have a 30-day supply of PPE. Entrances and exits used were observed to be supplied with hand sanitizer and masks at this time.

All rooms designated as activity areas and common areas for resident use were toured. Furniture and furnishings were observed to be present and sufficient to meet the needs of the residents at this time.

Office rooms and other areas intended for resident use were toured.

Kitchen area was toured. Facility freezer and refrigerator units were toured. LPA reviewed the food storage supply to make sure that there was always a 2-day perishable and 7-day nonperishable food quantities on site at all times. Knives were observed to be locked and made inaccessible to the residents at this time. It was observed in that the facility has cafe areas equipped with a microwave and addition refrigerator present to cool, heat, and warm up food of the residents if necessary.

Storage area for chemicals and cleaning supplies were observed to be locked and made inaccessible to the residents at this time. Additional incontinent supplies were also identified.

A tour of the facility resident bedrooms was conducted. Furniture and furnishings were observed to sufficient and able to meet the needs of the residents at this time.

A tour of the resident restrooms was conducted. Grab bars and non skid mats were observed to be present and in good repair at this time. Hot water temperatures were taken and measured to make sure that they were within the allowed range of 105-120 degrees.