Facility Evaluation Report

Licensing Program Analyst (LPA) Christian Gutierrez conducted the annual inspection using the Compliance and Regulatory Enforcement (CARE) tools. LPA met Caregiver Jason Desamero at approximately 8:30 AM and explained reason for visit. Administrator Toby Miclat arrived shortly. This facility is a Residential Care for Elderly (RCFE) to serve residents for age 60 and above. The facility is approved for two (2) ambulatory and four (4) non-ambulatory, of which one (1) may be bedridden. The facility may retain two (2) hospice residents. During the time of visit facility has three (3) residents on hospice care. Facility has a Dementia Care program. The facility is part of a single-story home located in a residential area and contains the following: (2) living rooms, dining room, kitchen with refrigerator, oven, stove, dishwasher, sink/faucet, (5) resident rooms, (1) staff room, (2) bathrooms for residents; bathrooms with shower, toilet and washbasin. A front yard with shaded area and seating for resident use. A connected laundry room inaccessible to residents for storage, medication, staff restroom, office/resting space for staff.

All resident bedrooms were toured. Each bedroom has a bed, linen, dresser, and lighting. Smoke detectors/carbon monoxide detectors were observed in each room and throughout facility. The facility has one (1) fire extinguisher that is fully charged in kitchen. Cleaning supplies and toxic substances are inaccessible locked in laundry room. Freezers are maintained at a temperature of 0-degree F and the refrigerators at a maximum of 40 degrees F. Sufficient supply of 2 days perishable & 7 days non-perishable foods was observed in the kitchen. There are no firearms or weapons stored at the facility The resident bathrooms have the required grabs bars and non-skid mats. The hot water temperature in the bathrooms were measured between the required range of 105-120 degrees F. The common areas include the living room and dining area are clean and have the required furniture. The facility does not have a swimming pool or large body of water. There is a shaded seating area for the residents in front yard. Passageways and exits are free of obstruction.