Facility Evaluation Report

On 12/06/2023 at 09:30 AM, Licensing Program Analyst (LPA) Jose Calderon conducted an unannounced annual inspection visit at the Olive Tree Home Facility. LPA Calderon was allowed entry into the facility by Staff Cesar Tuazon. Staff Cesar Tuazon was asked questions regarding the full care tools control package (13) sections. Staff Cesar Tuazon took LPA Calderon temperature prior to entrance into the facility. The facility is licensed for (18) non-ambulatory adult clients. Currently, there are (16) non-ambulatory residents residing in the facility.

LPA Calderon explained to Staff Cesar Tuazon, the purpose of the one-year (1) 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: three (3) resident service records, three (3) resident medication records, three (3) staff records. LPA Calderon interviewed three (3) residents and three (3) staff members for visit. LPA Calderon inspected the inside facility and outside grounds to include all common areas. The facilities’ last fire drill was conducted on 04/26/2023 . The one-story residential home consists of ten (10) resident bedrooms, two (2) resident bathrooms, living room, dining room, family room, kitchen, office area, 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 (2) supply perishable and seven-day (7) supply of non-perishable foods are present in the facility. Emergency Water seven-day (7) supply is found in the kitchen.