Facility Evaluation Report

On 6/5/24 Licensing Program Analyst (LPA) M. Garza arrived at the facility for an unannounced annual visit. LPA met with Case Manager/Designee, Monica Villegas who stated that the Administrator was unavailable. LPA explained reason for visit and was permitted entry into the facility.

LPA completed a health and safety check on residents in care. LPA toured the facility inside and out. Residents observed in activity and common areas. Pathways and doors were clear and free from obstruction. Facility was clean, without odor, adequately furnished, and adequately lit. Smoke detectors and carbon monoxide detectors present and operational at time of visit. Fire extinguisher last serviced 4/3/24. Rooms observed to have the required furnishings and with adequate lighting. LPA observed sufficient seating under covered patio areas.

LPA requested the following documents to be submitted to CCL by 6/12/24: current copy of Administrator Organization (LIC 309), Designation of Administrative Responsibility (LIC 308), Emergency Disaster Plan (LIC 610-D), Personnel Report (LIC 500), Register of Facility Clients/Residents (LIC 9020) in order to update the facility file.

During visit the following issues were observed: the water temperature measured at 120.9 degrees F in 2 of 2 restrooms. Chemicals/sharps observed in kitchen and in office unlocked and accessible. Outside waste receptacles observed without tight fitting lids. Spider webs observed in hallway, around gardening shed, windows, in conference room and by back door in need of general housekeeping. 1 of 5 client files observed to be over the required 1 year (dated 12/20/22). Disaster plan present but outdated. Updated form needed. TV's provided.

Exit interview completed with Case Manager, Monica Villegas. A copy of this report, and TV's provided.