Facility Evaluation Report

Licensing Program Analyst (LPA) Kimberly Ramirez conducted an unannounced required annual inspection on 7/25/2024. LPA Ramirez was met by House Manager Olga Soto and explained the purpose of the visit. The facility is a single story dwelling that is located on a cul-de-sac.

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

Physical Plant and Environment safety: Disinfectants, cleaning solutions, poisons and other items that could pose a danger if readily available to residents, were observed to be inaccessible to residents. LPA Ramirez observed carbon monoxide detectors and smoke alarms in hallways. LPA Ramirez inspected four (4) resident rooms. Three (3) out of the four (4) resident bedrooms contained required furniture, linens, and lighting. Bedroom#4 is shared and was observed to contain 1 bed and I recliner. Per staff, resident#2 (R2) wishes to sleep in their recliner and not have a traditional bed. Licensee must apply for this exception. LPA Ramirez will issue Type B deficiency based on this observation. LPA Ramirez observed dresser in bedroom#2 to be in disrepair. LPA Ramirez observed dresser in bedroom#3 to be in disrepair. LPA Ramirez will issue Type B deficiency based on this observation. Water temperatures in all grooming and bathing areas were measured to be with 105 – 120 degrees F. LPA Ramirez observed grab bars near toilets and inside showers. LPA Ramirez observed no-slip mat in showers. LPA Ramirez observed a 7in X 12-in tear on living room loveseat that exposed a yellow foam cushion. LPA Ramirez will issue Type B deficiency based on observation.

Food Service: LPA Ramirez observed sufficient supply of nonperishables for one week and perishable foods for a minimum of two days in the facility kitchen area. Soaps, detergents, and cleaning compounds were observed to be stored away from food supplies. Freezers and refrigerators were observed to be clean and within temperatures of 0 degree F (-17.7 degree C), and refrigerators with maximum temperature of 40 degree F. (4 degree C).