Facility Evaluation Report

Licensing Program Analysts (LPAs) Blanca Gonzalez and Nune Margaryan conducted an unannounced annual visit using the Care Tool. LPAs met with Administrator Linda Fan and Sabrina Liu, Assistant Administrator, who assisted with visit. LPAs explained the reason for the visit. The facility is licensed for residents age range 60 and over. Approved for 29 non-ambulatory residents of which 14 may be bedridden. Facility approved Hospice waiver for 10. There are currently 10 residents on hospice.

The facility is a two-story building. LPAs and Administrator toured the facility which included: random selection of resident bedrooms on both floors, Reception area, common area / activity exercise area, Administrator office / Medication area, laundry room, dining area, kitchen, linen supply room, cleaning supplies room, two public bathrooms, rest area (TV and computer room). The facility also has a large back patio area. The passageways, walkways and patios are free from obstructions. The backyard patio area is well maintained and there are no pools or large bodies of water. The common areas are clean and have the required furniture. The resident bathrooms have the required grabs bars and non-skid floor. The water temperature was tested in a random selection of resident bathrooms and was measured within Title 22 Regulation guidelines. Resident bedrooms have the required furniture such as bed frames, dressers, lamps, and chairs. Bedrooms also have sufficient closet space. Resident beds have the required linen, and the linen is in good condition. At the time of inspection, LPAs observed medications in rooms #122 and #125, on a bedside table and in an unlocked cabinet accessible to the residents. Also, medication (Nystatin cream tube) in room #122 observed without a prescription label.