Facility Evaluation Report

Licensing Program Analyst (LPA) Blanca Gonzalez conducted an unannounced required annual visit. LPA was greeted by staff and the purpose of the visit was explained. Executive Director Michele Johnson and Maintenance Director Rene Sandoval assisted with the tour.

The facility is licensed to serve age range 60 and over, 148 non-ambulatory of which six (6) may be bedridden. Bedridden is approved for all first and second floors. The facility has a hospice waiver for 10. Approved for delayed egress. The facility is a two-story building located in a residential area of Glendora operating as an RCFE with a Memory Support unit.

LPA utilized the Compliance and Regulatory Enforcement (CARE) tools for the visit today and observed the following:

Operational Requirements: Facility is operating within the limitations of their license. They have 10 residents under hospice and 1 bedridden resident. LPA observed current liability insurance.

Physical Plant/Environmental Safety: During facility's tour, LPA observed all common areas in good repair. Carbon monoxide and smoke detectors are located in every resident room. A total of 8 residents' rooms for assisted living, and memory support were selected at random for inspection. Each room contained the required furnishing, with sufficient lighting, and bedding supplies. Linens were observed to be clean and in good repair.