Facility Evaluation Report

Licensing Program Analyst (LPA) Jill Nakagawa conducted 1 year required inspection and met with Administrator Roxana Palomares. The inspection is focused on the Infection Control procedures and practices of this facility.

All visitors, essential visitors, and staff are screened upon entry; temperatures are taken, and screening questions are to be answered before being allowed to remain in the facility, all information is logged. Residents are screened and observed for any changes, all information is logged. Facility was found to be clean, orderly, and at a comfortable temperature with all exits free from obstruction. Toxins are stored in locked cabinets. There was a sufficient supply of hygiene products, cleaners, and paper products for use as needed. Medications were stored locked making them inaccessible to residents and staff that do not handle medications. All exit alarms were on exit doors and working properly. All bathrooms had non-slip mat/flooring for bathing as needed. All postings were up and visible to all as required. Facility has a sufficient supply of personal protective equipment (PPE). Administrator and all staff had a mask on during the LPA's inspection. Staff working in kitchen were wearing masks and gloves. All staff have CPR/First Aid Training. Mitigation plan was approved by the Department on 02/08/21. There were 3 Fire Extinguishers that were recently serviced (04/06/21), there was one carbon monoxide detector (operational) and a hard-wired Fire Alarm System,

There were ten (10) residents in care at the facility during this inspection.

No deficiencies during today's inspection.

Exit interview conducted with the Administrator.