Facility Evaluation Report

Licensing Program Analyst (LPA), Mayra Cota, conducted an unannounced annual visit today. LPA met with Emma Peteza, Caregiver and the reason for the visit was explained. Runette Catibog, Assistant Administrator, arrived thereafter and continued to facilitate the visit.

The facility is licensed to serve adults age range 60 and over; approved for (6) non-ambulatory, of which (1) may be bed-ridden and approved Hospice waiver for (2). The facility is operating within the scope of its license. The facility is in a residential area of Cerritos. The single-story home consists of living room, dining area, kitchen, (3) shared resident bedrooms, (1) staff room, (2) full bathrooms, front and backyard/patio area and attached garage/laundry area.

During today’s visit, LPA toured the home and observed the following:

Facility was observed clean inside and out. Walkways, passages and exists are free of debris and obstructions. Living room and dining area have sufficient seating for residents and furniture is in good repair. Kitchen appliances were observed clean and operable. Facility has a sufficient 2-day perishable and 7-day non-perishable supply of food which is kept labeled and properly stored. Sharps/knives and cleaning supplies are kept locked in a kitchen cabinet under the sink and in are inaccessible to residents. Bedrooms were observed clean; however, Resident 1’s bed has a half bed rail which has not been ordered by physician. Both bathrooms were also observed clean and sanitary. Water temperature was tested in both bathrooms and measured at 118.3 and 118.7 degrees F, which is within compliance range.