Facility Evaluation Report

On 07/06/23, Licensing Program Analyst (LPA) L. Salazar arrived at the facility announced to conduct the pre-licensing inspection. LPA was greeted by licensee, stated the purpose of the visit and was allowed entry into the facility.

LPA conducted a tour of the facility. LPA observed indoor and outdoor passageways, to be free from obstruction. LPA observed 8 resident bedrooms to have the required furnishings. Facility had 4 bathrooms and 3 shower rooms. Residents bedrooms were observed to be free from odor. A tank less hot water heater was observed temperature at a temperature of 120 degrees F. Trash can with lids and hand washing postings were observed in bathrooms. Infection Control Policy was observed and submitted to CCL. An Internet device was observed to be available for residents in care. Carbon monoxide and smoke detectors were observed to be operational. Fire Extinguisher was observed with a service date of 06/13/23. First aid kit was observed. Medications were observed to be in a locked medication cart located in a locked nursing station. Cleaning supplies were observed to be in a locked closet.

A sample of facility, resident and staff files were observed. Facility sketch was observed to have a clearly identified assembly point. Facility’s keys to entrance/exit doors and vehicles are planned to be available to staff on all shifts. Two emergency shelter locations are identified in LIC 610D, with one of the locations being outside of the immediate area. Emergency medical services contact information is observed to be available for staff. An emergency disaster binder was observed and readily available for Emergency Services.