Facility Evaluation Report

Licensing Program Analyst (LPA) Angel Ascencio conducted an unannounced required annual visit to the above facility. LPA Ascencio met with the staff member Alana Davis and explained the reason for the visit. This annual had a specific emphasis on infection control practices and procedures. Administrator Dadesii Daniel was not able to join LPA but authorized staff member Alana Davis to sign documents. At 10:40 a.m., the LPA, along with staff toured the physical plant areas inside and outside to ensure there are no health and safety hazards.

BEDROOMS: All resident rooms are set up with beds, night stands, lamps, chests of drawers, chairs and closet space. The beds are furnished with box springs, comfortable mattress and clean linen; which includes, a mattress pad, top and bottom linens, pillowcases, blanket (if needed) and a bedspread. Lighting in the rooms appeared adequate. The bedrooms were large enough to allow for easy passage between the beds. In addition, no bedroom was used as a passageway to another room, bath or toilet. There are 4 (four) total bedrooms for resident use – all of which are private rooms.

RESTROOMS: There are two (2) bathrooms in the hallway for resident use. One (1) is designated as a staff bathroom. The resident bathrooms has a shower with non-skid materials. The toilet and showers have grab bars.The hot water temperature was tested in the bathrooms and kitchen. Areas were found to be within the range of 105*F and 120*F.