Facility Evaluation Report

On 6/19/2023 Licensing Program Analysts (LPA)/Alfonso Iniguez conducted a pre-licensing evaluation change of ownership (CHOW) for an RCFCI (Residential Care Facility for the Chronically Ill) facility type. Today’s pre-licensing evaluation was conducted with Director/Christina Mancilla.

The licensee has applied for a license to serve (11) 18 and over adults. The fire clearance is approved for (7) ambulatory, (4) non-ambulatory and (0) bedridden residents.

LPA and director toured facility Kitchen, Dining Room, Breakfast Room, Living Room, Sun Room, (11) Bedrooms, (4) Bathrooms, Garage/Back house, Back Yard, and Patio with shaded porch. LPA observed sufficient storage areas for kitchen supplies, linens, medications (secured) and chemicals (secured).

LPA observed the following during this visit:

There is a locked centralized storage area for Resident medications.

LPA observed the 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 85°F. degrees. Open porches, and areas of potential hazard are well-lit and equipped with sturdy hand railings. Carbon monoxide/Smoke detectors operate properly.