Facility Evaluation Report

Licensing Program Analysts (LPA), Mayra Cota, conducted an unannounced Required 1 year visit. LPA was granted entrance and met with Dolores Del Caremen Ortiz, Caregiver, and the purpose of the visit was explained. Stacy Santana Lopez, Manager, arrived shortly thereafter. There are four (4) residents currently living in the facility.

The facility is licensed to serve (6) non-ambulatory residents ages (60) and above. Hospice waiver approved for (1) resident. The facility is operating within the scope of its licence. The facility is in a residential area of Pasadena and it consists of living room, dining room, kitchen, five resident bedrooms, (1) full and (1) half bathroom, laundry/supply room and front and back yard.

During today's visit, the following was observed:

Facility is clean and walkways, ramps and staircases are free of debris and obstructions. Furniture throughout the facility was observed in good repair. There is sufficient seating in the living and dining room for residents. Resident bedrooms have the required furniture such as bed frames, dressers, lamps, and chairs. Bedrooms also have sufficient closet space. Resident beds have the required linen. There is a closet in the hallway with extra clean linen and towels for residents.

Kitchen appliances were clean and were operating at the time of visit. Sharps are locked in a kitchen cabinet and are inaccessible to residents. Cleaning supplies and toxins are locked in a cabinet under kitchen sink. Sufficient supply of 2 day perishable and 7 day non-perishable food was observed and an additional emergency food supply was observed in the Laundry. Food is labeled and kept within expiration limits. An over flow refrigerator is kept in the laundry room and was observed stocked with extra food.