Facility Evaluation Report

On 02/16/23, Licensing Program Analysts (LPA) Lizeth Villegas and LPM Janae Hammond conducted an unannounced annual required visit with a primary focus on Infection Control measures using the CARE Inspection Tool. LPA met with Administrator Mary Montiano, Business manager Silvia Vidal and Assistant administrator Juan Cruz. LPA explained the purpose of today’s visit. The facility is licensed to operate for 68 clients of which 50 may be non- ambulatory adults ages 18 through 59. Approved hospice waiver for 5 clients.

The facility is in a residential area, two buildings in one lot. Building #1 consist of 22 non-ambulatory resident bedrooms, 5 resident restrooms, 2 staff restrooms, laundry room, dining area, kitchen, activity room, pantry, linen closet, medication room, 1 staff office and a designated outdoor smoking area. Building #2 is a two-story structure that consist of 16 ambulatory bedrooms, 3 resident restrooms, outside smoking area and 1 business office. Facility has a signal system in both buildings, all bedrooms and restrooms.

LPA toured the physical plant. There were no bodies of water or obstructions on the premises. Resident rooms were inspected, beds and bedding supplies were in good condition, adequate lighting was provided, and storage for the client's personal belongings was observed. Bed linens, comforters, and bath towels were adequately stocked during the visit. Bathrooms were found to be within Title 22 regulations and were clean and operational. The water temperature measured between 105- and 112-degrees F.