Facility Evaluation Report

Licensing Program Analyst (LPA) Cynthia Chan conducted a follow up visit to continue the annual inspection. LPA met with Administrator, Silvia Castro. The initial visit was on 1/31/25.

During the visit today, LPA inspected the rest of the domains of the CARE tools.

Staffing : Per the administrator, there is sufficient staffing at the facility and backup staff if needed. Staff employed have fingerprint clearance and associated to the facility.

Personnel Records-Training : LPA reviewed 3 staff files and all documents are in file. Staff have current CPR/first aid training and sufficient on-going training that meets the annual requirement.

Resident Records-Incident Reports: LPA reviewed 6 resident files and the following documents are found - admission agreements, Identification & Emergency Information, Physician's Report, Consent forms, Resident rights, Safeguards for Property/Valuables form.

Resident Rights-Information: The Complaint poster, Local Ombudsman, and Residents personal rights are posted.

Planned Activities: Facility has sufficient space to accommodate indoor and outdoor activities. There are

sufficient supplies and equipment to meet resident's physical/mental capability. Staff encourage residents to participate in activities.

Incidental Medical & Dental: The medications are centrally stored and locked in the cabinet. All 6 resident medications were reviewed and marked in the Medication Administration Record (MAR) log when given.

Resident with Special Needs : There are currently no residents with any prohibited or restricted health conditions or using oxygen.

No deficiencies are issued today. An exit interview was held and a copy of this report was given to the administrator.