Facility Evaluation Report

Licensing Program Analyst (LPA) Blanca Gonzalez conducted an unannounced required annual visit. LPA was greeted by staff and the reason for the visit was explained. Administrator Ralph Estanislao was advised telephonically but was not able to attend.

The facility is licensed to serve age range 60 and over, six (6) non-ambulatory of which one (1) may be bedridden. Hospice waiver for two (2). The facility is operating within the scope of their license with three (3) non-ambulatory residents.

The facility is a single-story home located in a residential area of Glendora. The home consists of a kitchen, living room, dining area, two (2) bathrooms, four (4) resident bedrooms, an attached garage, front and backyards.

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

Disinfectants, cleaning solutions, poisons and other items that could pose a danger if readily available to residents, were observed to be inaccessible to residents. Smoke detectors were observed in the hall and in each resident bedroom. The carbon monoxide detector was not functional as it did not have a battery. Deficiency cited. Four (4) resident rooms were inspected and were observed to contain the required furniture and bedding, all in good repair. Extra, clean linens were observed in a hall closet.