Facility Evaluation Report

Licensing Program Analyst (LPA) Galarza a nd Research Data Analyst Michael Moriel con ducted an unannounced annual inspection visit. The purpose of the visit was explained to Designee Administrator Claudia Sanchez. The facility serves elderly residents ages 60 and older. A hospice and Dementia waiver is in place. It consists of 48 resident rooms in a 2 story main building and 2 detached buildings, 1 activity rooms, dining room, laundry area, 2 courtyard patio areas, and one 2nd floor balcony.

Infection Control: The Infection Control Plan was reviewed. The facility has a supply of Personal Protective Equipment (PPEs).

Operational Requirements: A hospice waiver for 15 residents has been approved. A fire clearance for 48 ambulatory, 32 non-ambulatory, of which 7 may be bedridden is in place. Facility handles resident P & I monies for a total of 10 residents. However, the licensee does not have a Surety Bond. Liability Insurance in the amount of at least ($1,000,000) per occurrence and ($3,000,000) in total annual aggregate is current with an expiration date of 8/26/2024.

Physical Plant/Environment Safety: The interior and exterior physical plant was inspected. Exit doors are free of any obstruction and there are no pools or large bodies of water. Cleaning supplies and toxic substances are inaccessible to residents. The last fire drill was conducted on 6/17/2024. The facility has fully charged fire extinguishers. The signal system was tested and is operational. Water temperature readings did not measure d within the required 105 - 120 degrees Fahrenheit. Water temperature readings measured between 92.8 DF - 136.9 DF . Stairwell evacuation chairs were observed.

*Note: Blue tarps were observed on the roof. Elevator is not operable at this time.