Facility Evaluation Report

Licensing Program Analyst (LPA), Mayra Cota, conducted an unannounced annual visit today. LPA met with Julio Navallo, Administrator, and the reason for the visit was explained.

The facility is licensed to serve elderly residents age range 60 and above. All can be non-ambulatory. Facility is fire cleared for one bedridden resident; facility is approved to accept and retain (1) resident on Hospice. Facility is 87705 compliant; twenty -our hour awake staff required. 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, (4) resident bedrooms, (1) staff storage 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; however, kitchen cabinets were observed stained with grease mildew and dust on the doors and shelves. Also observed, tiles around kitchen sink are cracked and held down with duct tape. Facility has 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 and have the required furnishing and bedding. Extra linen is kept in cabinets in the hallway near the bedrooms. Both bathrooms were also observed clean and sanitary. Water temperature was tested in both bathrooms and measured at 111.5 and 105.2 degrees F, which is within compliance range. Fire place is covered and all exits doors have safety chimes which were tested and working properly. ***Continues on LIC 809-C