Facility Evaluation Report

Licensing Program Analyst (LPA) Blanca Gonzalez conducted an unannounced required annual visit. LPA was greeted by staff and the purpose of the visit was explained. Administrator Paul Shay and Caregiver Jade Robles arrived shortly after to assist with facility tour.

The facility is licensed to serve six (6) non-ambulatory residents ages 60 and above. One (1) resident may be bedridden. The facility may retain six (6) hospice residents. The facility is a single-story home located in a residential area of Glendora. The home consists of the following: five (5) bedrooms, two (2) bathrooms, kitchen, dining area, receiving room, TV room, attached garage with laundry area, and backyard.

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 obstructions.

The water temperature was tested in bathroom #1 in the hallway and measured 110.1 degrees F, which is within the required 105 degrees F - 120 degrees F. Bathroom #2 water temperature measured 106.8 degrees F. LPA observed grab bars and non-skid mats in both the bathrooms.