Facility Evaluation Report

Licensing Program Analyst (LPA) Esther Cortez conducted an unannounced required annual visit to the above facility. LPA met with the Administrator Maria Ayala and explained the reason for the visit.

Medication Audit: At 3:20 p.m. a medication audit for three (3) residents was initiated. The following was observed: The medications were stored in a locked kitchen cabinet which is locked and inaccessible to the residents in care; medications are labeled and checked for expiration dates. Medications are properly documented on the centrally stored medications and destruction record. During Resident #1 (R#1's) audit, the LPA observed the following over the counter medications without a prescription, D-Mannose with Cranberry & Hibiscus 1,300 mg. Upon observation the Administrator stated that R1's family member had brought that medication. R1's family member was contacted and confirmed they had brought that medication in error in place of the prescribed Cranberry extract 500mg, and was able to bring the correct medication during the visit.

At 03:51 p,m. the LPA toured the physical plant areas inside and outside with the administrator to ensure there are no health and safety hazards. LPA tested the smoke alarms and carbon monoxide detector which functioned properly. The fire extinguisher was recently purchased in August of 2024.

KITCHEN: Kitchen knives are stored in a locked cabinet in the kitchen along with the medications. The supply of dishes, utensils, pots, pans and drink ware is adequate.. The supply of perishable and nonperishable food is adequate. There are no toxins in any food storage area or preparation area with utensils. Appliances in the kitchen were clean and all appeared functional. Kitchen, laundry and house cleaning supplies are stored in the locked garage. No flies or other vermin were observed. The garage was observed locked and contained the emergency food supply, and a laundry area that contained laundry supplies. Report will continue on LIC809-C. (2ND PAGE).