Facility Evaluation Report

Licensing Program Analysts (LPA) Alberto Lopez conducted an unannounced annual inspection visit. LPA met with Monica Aguilera, Administrator. The purpose of today's visit was discussed. The facility is licensed to serve six (6) non-ambulatory residents who are ages 60 and above and approved for six (6) Hospice Waiver. Facility has dementia program on file. Currently, one (1) resident is on hospice. Annual licensing fees are current according to Administrator.

LPA utilized the Compliance and Regulatory Enforcement (CARE) tools for the visit today and observed the following:

1. Infection Control: Infection control practices and Personal Protective Equipment (PPEs) were observed. The facility has submitted a COVID-19 Mitigation Plan and Infection Control Plan.

2. Operational Requirement: Liability Insurance is updated and in the amount of at least ($1,000,000) per occurrence and ($3,000,000) in total annual aggregate is in place.

The facility is a single-family home located in a residential neighborhood, consisted of six (6) bedrooms, three (3) bathrooms, living room, dining room, activity/sunroom, laundry room, kitchen, and indoor/outdoor activity areas. All the rooms are furnished with appropriate furniture for residents’ comfort. Bathrooms are furnished with grab bars and nonskid surfaces. Hot water temperature was measured at 106.5 to 109.5 degrees Fahrenheit which is within Title 22 Regulation guidelines. Sufficient supplies of linen and personal hygiene supplies are observed. Auditory device alarms are operational. Smoke detectors and carbon monoxide detectors were tested and operable. Fire extinguishers were fully charged, and last service was on 02/14/2025. The outdoor area has a shaped area and seating .