Facility Evaluation Report

Licensing Program Analyst (LPA) Gabriela Castro conducted an unannounced required annual inspection using the Compliance and Regulatory Enforcement (CARE) Tool. Upon arrival, LPA was greeted by Joanna Castellanos and explained the purpose of the visit. Care Manager Victoria Serna arrived shortly thereafter.

The facility is licensed to provide care and supervision to six (6) residents, age 60 and older. The approved capacity includes up to four (4) non-ambulatory residents and one (1) bedridden resident.

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 located in a residential neighborhood and is a single-story home consisting of five (5) resident bedrooms, three (3) bathrooms (including one private resident bathroom and one staff bathroom), a living room, kitchen, dining area, laundry room, garage, front yard, and backyard. LPA observed all five (5) resident bedrooms, which were equipped with the required furnishings, including a bed, mattress, linens, dresser, chair, and adequate lighting. During the inspection, LPA observed cleaning supplies and toxic substances stored in the kitchen cabinet beneath the sink that were accessible to residents as current lock was broken. A deficiency was cited. The bathrooms were clean and equipped with the required grab bars near the toilets and in the shower areas, as well as non-skid mats. Hot water temperature measured within the required range of 105°F to 120°F. An adequate supply of extra linens and towels was available in a hallway cabinet. Smoke and carbon monoxide detectors were tested and found to be operational. Fire extinguishers were observed throughout the facility and were readily accessible. No bodies of water were present on the premises. The backyard contained shaded seating areas for resident use. All passageways, walkways, and exits were observed to be clear, unobstructed, and free of hazards.