Facility Evaluation Report

On 04/08/25, 9:00 am Licensing Program Analysts (LPAs) Nadia Shahbazian and Evelin Rios conducted an unannounced required annual inspection. LPAs met with Executive Director, Silvia Valdez and explained the reason for the visit. Facility is licensed as a two-story building. Fire clearance approved for one hundred (100) non-ambulatory residents; ten (10) of whom may be bedridden. Hospice waiver is approved for thirty (30) residents.

LPAs requested copies of the resident roster, Personnel Report (LIC 500), nine (9) randomly selected resident records and seven (7) staff files. At approximately 10:00 am, LPAs reviewed seven (7) randomly selected staff files for completeness, LPAs observed the files to be complete with updated training records.

From 12:00 pm to 1:20 pm, LPAs along with the Executive Director conducted a tour of the physical plant. During the tour, LPAs interviewed six (6) residents and four (4) staff. During the physical plant tour LPAs observed the following:

The Screening/Reception area is located immediately upon entrance. Required postings were displayed at the reception area. Facility’s main door is the primary entry/exit access. The facility has five (5) delayed egress exit doors. LPA tested one of the delayed egress doors on the first floor and observed it to function properly. Facility has one elevator. LPAs observed an evacuation chair atop of one (1) of the three (3) stairwells.