Facility Evaluation Report

On 3/12/2024 at 10:00AM Licensing Program Analyst (LPA) A. Gomez arrived unannounced to conduct a 1-Year Annual Required visit and met with Administrator, Erlinda Gines . The facility is cleared for all may be non-ambulatory.

LPA toured and inspected the facility inside and outside with administrator including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility consists of seven (7) total bedrooms which four (4) bedrooms are currently occupied by the residents and one (1) bedroom is occupied by staff. The facility has auditory signals on each sliding door in the resident's room. All outdoor and indoor passageways are kept free of obstruction. There were no bodies of water present at this facility. LPA observed medication located in Kitchen and were observed to be locked. LPA observed lighting in all rooms are adequate for the comfort and safety of the clients. A comfortable temperature is maintained at 70 degrees Fahrenheit. Hot water temperature in the residents’ shared bathroom was measured at 113.3 degrees F. Resident's bathrooms have grab bars inside the shower. The showers have non-skid mat. Hygiene items, extra linens and toiletry supplies were checked and sufficient. Fire extinguisher in kitchen was last serviced on 4/18/2023, smoke detectors and carbon monoxide were operational. First aid kit was inspected and was complete. Food supplies were sufficient to meet 2-day perishable and 7-day non-perishable requirements.

4 of 4 Resident records were reviewed at approximately 10:15AM. 3 of 3 Staff records were reviewed at approximately 10:36 AM. All staff were fingerprinted and associated to the facility. All staff have current CPR First aid certifications. First Aid kit was observed complete. Emergency disaster plan last reviewed 3/11/2024.