Facility Evaluation Report

Licensing Program Analysts (LPA) Ana Soto, conducted an announced visit to the facility for the purpose of a Pre-Licensing evaluation . Due to the situation surrounding the Corona virus Disease 2019 (COVID-19), and to implement mitigation measures, today’s complaint investigation was conducted a tele-visit with Daizel Gasperian, the facility administrator.

An application was submitted to Community Care Licensing Department (CCLD) on 08/19/2019 for an initial license for Residential Care For Elderly 60 years and above. The requested capacity is for (120) Residents,(0) ambulatory and (120) non-ambulatory. Structure: Facility is in a office building with other business offices. The facility has 4 floors, 60 rooms, and 1 elevator. The suite is on the First floor it has a lobby, receptionist counter, administrators office, sales office, and file room on one side of the first floor. They have the required Covid-19 posting on the front door of the Suite, along with the sign-in log sheet and sanitary station. Across the hall from the suite, they have the residents rooms. The resident section is on the 1st Floor. They have a common area (TV, Piano, 4 chairs, computer area) dining room, patio has( 2 tables, 2 umbrellas, and 2/3 chairs, and game tables.) Next to the dining area there's a kitchenette for staff. The wellness room is located right in middle of the floor, for all 4 floors. The 2nd, 3rd, and 4th floors are the same the design as the first floor. Signal System : Signal system in facility. Bedroom Residents: There shall be no more than two clients per bedrooms. bedrooms are designated resident bedrooms properly equipped with regulation guidelines of two beds, two chairs, two night stands, two lamps and overhead lighting. Presently, 120 bedrooms are occupied by 2 clients and 1 bedroom by 1 client. Bedroom Staff: No bedrooms will be used for awake staff. Bathrooms: 64 bathroom, 60 located in each room of the 4 floors of the facility: have working toilets and wash basin, a walk-in shower with folding bench, grab bars, and mats. 4 other bathrooms are visitor bathrooms, located 1 in every floor. Linens & Hygiene Supplies: Beds have the required linen/supplies which include, pillowcase, mattress pads, fitted sheet, blanket and bedspreads. Adequate supply of linen is stored in basement where the house keeping supplies are kept.