Facility Evaluation Report

Licensing Program Analyst (LPA) Tao conducted an unannounced annual visit at the facility using the CARE inspection tool. Upon arrival, LPA met with staff Vanessa Joy Arbis and spoke with the administrator Antoinette Corsentino over the phone. The reason for the visit was explained.

The facility is licensed as a Residential Care for Elderly (RCFE) to serve six (6) non-ambulatory residents who are 60 years old and over. The facility has six (6) approved hospice waivers. Currently, one resident is on hospice. The facility is a single-family home located in a residential area in Glendora. The facility consists of a living room, dining room, TV room, kitchen with a medication closet, four (4) residents rooms (2 shared rooms and 2 private rooms), one (1) live-in staff bedroom, three (3) bathrooms, a swimming pool, attached garage with laundry area, storage closet, and back yard with shaded area and patio furniture.

The following CARE tool domains were reviewed during this visit:

Infection Control: Sufficient PPE supplies and an Infection Control Plan maintained at the facility were observed and in compliance.

Physical Plant & Environment Safety: Physical plant tour was conducted. Residents’ bedrooms were checked and closet/drawer space to accommodate each resident comfortably was available. The outdoor and passageways were free of obstruction and debris/hazards. Storage areas for cleaning solutions, toxins, knives, and hazardous items were kept in a locked cabinet and were inaccessible to residents. (-Continued on the LIC809-C)