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 Rudy Trinidad and explained the reason for the visit. Administrator Alaina Hendricks arrived shortly thereafter.

This home is licensed to serve 6 residents ages range 60 and over, six (6) non-ambulatory and the facility is approved to accept/retain four (4) hospice residents.

There was (3) resident under hospice care during inspection and one (1) on home health.

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 we re present. Oxygen signages were observed throughout the facility.

The facility is located in a residential area and is a one-story home consisting of four (4) resident bedrooms, two (2) bathrooms (one of which is a private restroom), three (3) caregiver sleeping areas located in and near the garage area, a living room, kitchen, dining area, attached garage, front yard, and backyard. LPA observed all four (4) resident bedrooms, which contained the required furnishings, including a bed, mattress, linens, dresser, chair, and adequate lighting. Hoyer lifts were available in resident rooms to assist with mobility and transfers. Cleaning supplies and toxic substances were stored in a locked area in the garage and were inaccessible to residents. Bathrooms were clean and equipped with required grab bars in the showers and near toilets, as well as non-skid mats. Hot water temperatures were measured at 113.9°F in bathroom (1) and 110.2°F in bathroom (2), which are within the required regulatory range of 105°F to 120°F. Extra linens and towels were available in hallway cabinets. Smoke and carbon monoxide detectors were tested and found to be functional. A fire extinguisher was observed near the front entrance. No bodies of water were present on the premises. The backyard provided shaded seating for residents. Passageways and exits were observed to be clear and unobstructed.