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.

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 four (4) non-ambulatory residents, one (1) of which is bedridden. The facility is a single-story home located in a residential area of Glendora. The home consists of a kitchen, living room, dining area, three (3) bathrooms, six (6) resident bedrooms, front and backyards.

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

LPA toured facility interior and exterior and observed passageways and exits to be free of debris and obstructions. Room temperature was kept comfortable. Water temperature was tested in resident bathrooms and measured at 109.5°F in (2) bathrooms, which is within the required 105°F- 120°F. LPA observed grab bars near toilets and inside showers. Shower floor in hall bath was observed to have mold around the shower floor mat and rust around the shower chair. Deficiencies cited. Disinfectants, cleaning solutions, poisons and other items that could pose a danger if readily available to residents, were observed to be inaccessible to residents. Carbon monoxide/Smoke detectors are located in the hallway, were tested and are operable.