Facility Evaluation Report

On 9/20/2024 Licensing Program Analyst (LPA) M. Garza arrived unannounced for an annual inspection visit. LPA was met by Licensee, Lupe Martinez, Administrator, Dale Martinez Jr. and Program Manager, Krystyn Cuevas. LPA explained reason for visit and was permitted entry into the facility.

Residents not present during todays visit. LPA toured the facility inside and out. Pathways and doors were clear and free from obstruction. Facility was clean and without odor. Common areas were clean, adequately furnished, and adequately lit. Smoke detectors and carbon monoxide detectors were present and operational at time of visit. Fire extinguisher last serviced 5/22/24. Last fire drill on 8/9/24. Water temperature measured 109.2 degrees F in restroom #1. Linen supplies are kept in linen closets. Sharps and medications were located in locked cabinets. LPA observed sufficient seating under covered patio areas.

The following issues were observed during todays visit: Front door screen torn and in need of repair. Water hose observed in walkway to right of the facility. Small step observed from living room to activity room. Possible tripping hazard. Left side fence leaning and in need of repair. Spider webs observed in back yard in need of cleaning. Right side gate not self latching. Chemicals observed in room off kitchen unlocked and accessible to residents in care. Trash cans observed to be open and not closing properly with trash inside. 3 of 3 resident rooms observed without all required items. (Rm 1- missing 1 lamp. Rm 2- missing night stand (resident has standing shelf), 1 chair, 2 lamps, Rm 3-missing 1 lamp, 2 chairs and 1 night stand). 1 of 6 residents with a non-ambulatory status reported on physicians report. CONT....