Facility Evaluation Report

On 12/21/22 at 9:08 AM, Licensing Program Analyst (LPA) Malia Thao arrived unannounced to conduct an Annual inspection. LPA explained reasonf for inspection and was granted entry by staff. LPA met with Administrator (ADM) Ricardo Andres.

Facility has COVID-19 precaution signs posted and conducted temperature check of visitor. LPA toured inside and outside of the facility. Hand sanitizer was readily available to residents and visitors. Social distancing is maintained in the common and dining areas. Hand washing posters were observed by the bathroom sinks. Bedrooms were checked and residents do not share bedrooms. LPA checked residents’ medications. Cleaning and PPE supplies were checked. Resident files have updated emergency contact information.

The following deficiencies were observed:

1. Facility does not have a carbon monoxide detector.

2. LPA observed the blade in blender on kitchen countertop accessible; one shovel and one pick garden tool observed outside in front walkway garden bed accessible; miscellaneous garden tools, tool box, insect spray and caulking tube observed accessible in unlocked garage.

3. Administrator on record does not have a current Administrator certification.

4. LPA observed lights not working in bedrooms #1,2, and 4, living room, and bathroom next to bedroom #4; light switch in bedroom #4 and living room observed broken with missing switch; toilet seats were missing from bathrooms next to bedroom #1/2 and 4; air vent in ceiling of bedroom #2 observed covered in dust; backsplash behind kitchen sink observed peeling from wall and not clean, and doorknob to front gate in porch area observed broken and inoperatable.

5. LPA observed a sliding wooden door installed separating kitchen from dining area that is locked with a key.

6. LPA observed R2's bedroom closet locked with a padlock.