Facility Evaluation Report

On 10/26/23 Licensing Program Analysts (LPA) Alfonso Iniguez conducted a pre-licensing evaluation for an RCFE facility type. Today’s pre-licensing evaluation was conducted with authorized licensee: Rodrigo Rosaldo.

The licensee has applied for a license to serve (6) elderly residents ages 59 and older. The fire clearance is approved for (5) non-ambulatory and (1) bedridden resident in room #4. Approved Hospice waiver for (6). The licensee plans to advertise for Special Care Programs for Dementia Residents.

A tour of the Kitchen, Dining Room, Living Room, (5) Bedrooms, (1) Staff Room, (2) Bathrooms, Garage, Storage for all supplies, Back Yard, Ramps and Outside table with shade.

The following was observed during this visit:

There is a locked centralized storage area for Resident medications.

Facility is clean, sanitary, and in good repair. Protective devices are in place. Indoor and outdoor passageways, stairways, open porches, and other areas of potential hazard are free of obstructions. All window screens are clean and in good repair. Facility temperature is between 68°F. degrees and 73°F. degrees. Open porches, and areas of potential hazard are well-lit. Smoke alarms operate properly. Carbon monoxide detectors operate properly.