Facility Evaluation Report

Licensing Program Analyst (LPA) Elsie Campos arrived at the facility unannounced to conduct a required Annual visit. This annual had a specific emphasis on infection control practices and procedures. The LPA met with staff at 9:30 a.m. and explained the reason for the visit. Administrator Maria Mendez arrived a short time after.

The LPA toured the physical plant areas inside and outside, with staff and Administrator Maria Mendez between 9:50 a.m. and 10:30 a.m. to ensure there are no health and safety hazards.

BEDROOMS: The LPA observed the resident bedrooms which were furnished with clean linens, appropriate furnishings, and sufficient lighting. There are (6) six bedrooms designated for resident use and (1) one bedroom designated for staff use.

RESTROOMS: Resident restrooms are clean, sanitary, and in operating condition with grab bars and non-skid surfaces. The LPA observed (1) one bathroom without a non-skid surface in the shower, staff indicated the shower is not used by residents. The LPA advised administrator that all showers should maintain non-skid surfaces. The LPA observed sufficient amounts of soap, paper products, and hand-washing signs in each restroom. The restroom hot water measured between 112.0 and 132.6 Fahrenheit between 10:08 a.m. and 10:16 a.m.

KITCHE N : Kitchen appliances were in operable condition. The facility has a sufficient supply of perishable and non-perishable food. Cleaning supplies were observed to be properly stored and locked at time of visit. The LPA observed and unlocked kitchen drawer containing an accessible kitchen knife and lighter. The LPA advised staff to keep all sharps and lighters locked and inaccessible at all times. Hot water measured 134.6 Fahrenheit at 10:09 a.m.