Facility Evaluation Report

At approximately 9:45AM, Licensing Program Analysts (LPAs) Carol Fowler and Tonica Syess-Gibson arrived unannounced to conduct a Required 1 Year annual inspection and met with Staff Members, Delia Martinez, Caregivers. Maria Janice Vizcarra, acting Administrator arrived at approximately 11:05AM.

LPA conducted a tour of the facility and observed the following: the facility was clean and at a comfortable temperature with all exits free from obstruction. Bathrooms were equipped with necessary grab bars, and non-slip floors/mats were present. There is a sufficient supply of hygiene products, paper products, and linens available for resident use. Medication was centrally stored and secure.

LPA reviewed 4 of 6 resident records, which were all complete. LPA reviewed a sample of staff records. LPA reviewed 3 staff files. Staff files were complete. Administrator's Certificate# (6011284740) was current with an expiration date of 10/26/2024

The facility conducted fire and evacuation drill on 1/21/2024. Facility's fire extinguishers were last inspected 12/13/2023. Smoke detectors and carbon monoxide detectors were tested and operational. The amount of fresh and non-perishable foods are within regulation. Hot water temperatures for all sinks in facility were within Title 22 regulations of 105 to 120 degrees Fahrenheit.