Facility Evaluation Report

On 02/28/2024 at 12 noon, Licensing Program Analyst (LPA) Jose Calderon conducted an unannounced annual inspection visit at the Oakhorne Manor Facility. LPA Calderon was allowed entry into the facility by Staff Arceli Villanueva. Staff Arceli Villanueva asked infection control questions and took LPA Calderon temperature prior to entrance into the facility. The facility is licensed to serve six (6) non-ambulatories of which one (1) may be bedridden in bedroom #4. Adults ages 60 and over and have a hospice waiver for two (2). Currently, there are four (4) clients residing in the facility with behavioral issues.

LPA Calderon explained to Staff Arceli Villanueva, the purpose of the one-year Annual Inspection visit, and escorted LPA Calderon on a tour of the entire inside and outside facility grounds. As part of the inspection, LPA Calderon reviewed: Four (4) client service records, four (4) client medication records, two (2) staff records, and inspected the inside facility and outside grounds. LPA Calderon interviewed four (4) clients and two (2) staff members for visit. The facilities’ last fire drill was conducted on 02/06/2024 . The one-story residential home consists of four (4) client bedrooms, two (2) client bathrooms, living room, dining room, kitchen, staff room, office area, attached garage with washer and dryer/ storage area, backyard with table and chairs. No weapons are stored in the premises. Kitchen was inspected and observed to be clean and operational. A two-day supply perishable and seven-day supply of non-perishable foods are present in the facility. Emergency Water Storage is in the garage and kitchen area.