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 Rio Basco and explained the reason for the visit. Administrator Elizah Arganosa arrived shortly thereafter.

This home is licensed to serve residents ages 60 and over, six (6) non-ambulatory of which 1 may be bedridden. Bedridden bedroom is room 3. Facility is approved for six (6) hospice residents.

There was one (1) 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 located in a residential area and is a one-story home consisting of five (5) resident bedrooms, two (2) restrooms, one (1) main bathroom, one (1) shared bathroom (in bedroom),living room, kitchen, dining area, laundry room, attached 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 are inaccessible to residents in a locked 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) 109.8°F and bathroom (2) 112.5°F which is within the required 105–120°F. Extra linens and towels were available in a hallway cabinet.