Facility Evaluation Report

Licensing Program Analyst (LPA) Blanca Gonzalez conducted an unannounced required annual inspection. LPA was greeted by staff and explained the reason for visit. Administrator Tiffany Vander Poorten arrived shortly after to assist.

The facility is licensed to serve 6 non-ambulatory residents aged 60 and over with hospice approved for six. There are currently four (4) residents in care, two (2) of which receive hospice services. The facility is operating within the scope of their license.

The facility is a single-family home located in a residential area of Glendora. The home consists of a living room, family room, kitchen, four (4) resident bedrooms, one (1) staff bedroom, three (3) bathrooms, front yard, backyard, and detached garage.

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

The front and backyard are well maintained and there are no pools or large bodies of water. There is a shaded area located in the backyard with sufficient seating for residents in care. Passageways and exits are free of obstruction.

The water temperature was tested in all three (3) bathrooms and measured within the required 105° F - 120° F. LPA observed grab bars and non-skid mats in both the bathrooms.