Facility Evaluation Report

Licensing Program Analyst (LPA) Blanca Gonzalez conducted unannounced, required annual visit. LPA met with Rebecca Caradag, Caregiver and explained the purpose of the visit. Administrator Euphrosyne Dimaano arrived shortly after to assist.

The facility is licensed to serve residents age range 60 and over, approved for six (6) non-ambulatory. Hospice waiver for six (6) residents. The facility has a census of four (4) residents, three (3) are non-ambulatory of which two (2) receive hospice care. The facility is operating within the scope of the license.

The home is located in a residential neighborhood of Cerritos and consists of (4) bedrooms, (2) bathrooms, living room, family room with office area, kitchen, dining room, and attached garage.

LPA and Administrator toured the facility and observed the following:

The front and backyard are well maintained and there are no pools or large bodies of water. There is a shaded area located in the backyard with sufficient seating for residents in care. Passageways and exits are free of obstructions.

The water temperature was tested in bathroom #1 in the hallway and measured 116 degrees F, which is within the required 105 degrees F - 120 degrees F. Bathroom #2 water temperature measured 109.4 degrees F. LPA observed grab bars and non-skid mats in both the bathrooms.