Facility Evaluation Report

Licensing Program Analyst (LPA) Gabriela Castro conducted an unannounced required annual visit using the Compliance and Regulatory Enforcement (CARE) Tool. LPA was greeted by Maria Heidi Baquiran and explained the reason for the visit. Max Raharuhi, Administrator Assistant arrived shortly thereafter.

The facility is licensed to serve residents ages sixty (60) and older. The approved capacity is five (5) non-ambulatory residents and one (1) bedridden only. This facility may retain no more than two (2) hospice residents. There were four (4) residents under hospice care during inspection.

Personal Rights postings (LIC 613C and Ombudsman), Complaint Poster (PUB 475), and nondiscrimination notice were observed in a common area. Residents had access to personal space, privacy, and adequate storage. No firearms/weapons were present.

The facility is in a residential area and is a one-story home consisting of five (5) resident bedrooms, one (1) restrooms, living room, kitchen, dining area, laundry room, garage, front yard, and backyard. LPA observed five (5) resident bedrooms, and all contained the required furniture (bed, mattress, linens, dresser, chair, and lighting). Cleaning supplies and toxic substances were accessible to residents in a kitchen cabinet under sink. Bathrooms were clean and equipped with required grab bars in showers and near toilets, as well as non-skid mats; hot water measured in bathroom (1) 115.2°F which is within the required 105–120°F. Extra linens and towels were available in a hallway cabinet.