Facility Evaluation Report

On this day at around 10:20 am, Licensing Program Analyst (LPA) Luisa Fontanilla arrived unannounced to conduct an annual required inspection and met with staff Milagros Bumatay. LPA explained to Bumatay the purpose of the visit. The Administrator arrived at around 11 am.

During the visit, LPA inspected the facility inside and out including but not limited to bedrooms, bathrooms, dining area, kitchen, garage and backyard. Hot water measured at 111 degrees Fahrenheit. There was sufficient supply of perishable and non perishable foods. Ample supply of linen, warm blankets and towels were observed. First aid kit was observed complete. LPA observed a fire extinguisher that appeared full but did not have a tag or proof of purchase. The last fire and earthquake drill was conducted in November 2023.

Smoke detectors and carbon monoxide were tested and observed functional.

LPA reviewed three resident files and 4 staff files. All staff were observed fingerprint cleared and associated to the facility. LPA interviewed one resident and one staff. LPA reviewed medications and Medications Administration Record (MAR) with Administrator.

The following deficiencies were observed:

backyard was observed with grass more than 1 foot tall, construction equipment, luggage, right side passageway uneven pavement, garage door needed to be opened manually

2 knives observed unlocked in the kitchen

R1 uses oxygen but fire department has not been notified