Facility Evaluation Report

On 8/9/22 at 01:00 p.m., Licensing Program Analyst (LPA) Jewel Baptiste conducted an unannounced visit for the purpose of conducting the required annual inspection. On today's visit LPA met with Administrator, Rowena Carrillo who assisted with today’s visit.

The home is licensed to serve a capacity of six elderly residents age 60 and above, of which all may be non-ambulatory. Bedridden fire clearance approved for bedroom #1 and an approved Hospice Care waiver for two residents at any one given time. The facility is a single-story building in a residential area, with a kitchen, dining room, 2 living room, 4 bedrooms, 2 bathrooms, backyard with shaded area. Fire extinguisher observed kitchen fully charged. There are smoke detectors/ Carbon monoxide located throughout the facility, tested and operational.

LPAs discussed infection control practices with administrator, toured the facility inside and out, reviewed food supply, reviewed staff files, and reviewed resident medications.