Facility Evaluation Report

On this day at around 10:05 am, Licensing Program Analyst (LPA) Luisa Fontanilla arrived unannounced to conduct annual required inspection. LPA met with LVN Gertrudes Paran. LPA explained to Paran the purpose of the visit. The Administrator and Remedios Sullera, RN arrived at around 10:30am.

During the visit, LPA inspected the facility inside and out including but not limited to client rooms, bathrooms, kitchen, garage, backyard. There were 4 clients observed and one was out for an appointment.

The facility has an approved fire clearance for 5 non ambulatory clients. Multiple fire extinguishers that appeared full and has tag date of 2/6/2025 were observed. Carbon monoxide was tested and observed operational. Smoke detectors were tested on 2/6/2025 by Hue & Cry Inc. Last fire drill was conducted on 7/28/2025 and last earthquake drill was done on 7/31/2025 . Generator was tested on 8/5/2025. First aid was observed complete. Passageways were free from obstruction. No bodies of water were observed. There was sufficient supply of foods. Three of five clients are on G tube feeding and two are on pureed diet.

At around 11 am, LPA reviewed 5 client and 5 staff files. At 12:00 pm, LPA reviewed P&I money and log. Facility has a surety bond in the amount of 11,000 which is sufficient to cover amount of cash being handled at one time.