Facility Evaluation Report

05/15/2023 2:46 PM Licensing Program Analysts (LPA) Sarah Benson and Licensing Program Manager Lauren Crocker (LPM) arrived at the facility unannounced to conduct a Required Year inspection. Sarah Benson and Lauren Crocker met with administrator Azucena Agati (Administrator cert.6018548735 # exp 8-20-24 and Emielynn Galvan Care Staff) and explained the purpose of the visit.

Licensing representatives and the administrator and Care Staff toured the facility together to ensure the health and safety of residents in care. Areas toured include but are not limited to four (4) resident rooms, common areas, two (2) bathrooms, kitchen, storage areas and back yard. Staff and resident files were reviewed. Medications were also reviewed.

Common area was clean and in good repair. All bedrooms had required furniture, bedding, and lighting. Bathrooms were clean and in good repair. Kitchen was clean and in good repair. Facility has required (7) seven day non-perishable and (2) day perishable supply of food. Medication is locked in a cabinet.

Administrator certificate is current. All employees requiring background checks are cleared. All required postings are displayed within facility. No firearms are on premises. Smoke detectors are all operational. Fire extinguishers are fully charged and were inspected in August 2023 MD report identifies one resident as bedridden, fire clearance for one nonambatory in 2023. Last disaster drill was conducted in April 2023. In addition the facility conducts monthly fire drills. In the areas toured no immediate health, safety, or personal rights violations were observed.

Deficiencies are being cited as a result of today’s inspection. Exit interview conducted and copy of report was provided to administrator .