Facility Evaluation Report

On 5/1/2024, Licensing Program Analyst-LPA Alfonso Iniguez conducted an unannounced annual required visit using the CARE Inspection Tool. LPA met with Rodolfo Lozada/ Assistant Administrator. LPA explained the purpose of today’s visit. The facility is licensed to serve (6) residents ages 60 and above. Of which (6) may be non-ambulatory and (1) Bedridden. Approved hospice waiver for (6). Currently the facility has (4) residents.

The facility is a single-story structure located in a residential neighborhood. It consists of (5) bedrooms, (2) full bathrooms, shaded back yard, front yard, laundry room in the attached garage.

LPA Iniguez and the Administrator toured the physical plant. There were no bodies of water or obstructions on the premises. LPA inspected a total of (5) bedrooms and (2) bathrooms. The beds and bedding supplies were in good condition, adequate lighting was provided, and storage for the residents’ personal belongings was observed. The bathrooms were found to be within Title 22 regulations and were operational. Smoke and carbon monoxide detectors were in operable condition. The water temperature ranged from 109.1°F to 115.3°F, and the room temperature ranged from 76°F to 78°F.

The evaluation Report continues on the next page, LIC 809-C , providing further details of the inspection findings.