Facility Evaluation Report

Licensing Program Analyst (LPA’s) Christian Gutierrez, and Gaby Castro conducted the annual inspection using the Compliance and Regulatory Enforcement (CARE) tools. LPA’s met with Caregiver Andres Castellanos and explained reason for visit. Administrator Lorraine Lopez arrived shortly.

Facility is licensed to serve six (6) non-ambulatory residents age 60 and over of which one (1) may be bedridden. The facility may retain six (6) hospice residents. The facility is in a residential area, and it is a one-story family home. A tour of the single-story facility included the living room, kitchen with dining area, 4 client bedrooms, 2 bathrooms, front yard with a pathway to garden, attached garage, and outside shaded area for residents.

LPA's toured the facility and observed the following: Each resident bedroom has the required furniture and bedding. The Smoke detectors were observed throughout the facility and are properly operating. There are two carbon monoxide detectors in hallway. The facility has one (1) fully charged fire extinguishers which is kept in kitchen. Cleaning supplies and toxic substances were observed to be inaccessible. Freezers are maintained at a temperature of 0-degree F and the refrigerators at a maximum of 40 degrees F. Facility was observed not to have sufficient supply of 2 days perishable & 7 days non-perishable foods. There are no firearms or weapons stored at the facility. The hot water temperature in the bathrooms were measured between the required range of 105-120 degrees F. The resident bathrooms have the required grabs bars and non-skid mats. The facility does not have a swimming pool or bodies of water on the premises There is a shaded seating area for the residents outside on side of garage with a garden with a walkway. Passageways and exits are free of obstruction.

***Due to time constraints, LPA was not able to complete the annual inspection for this facility. LPA will do a continuation of this inspection. ***

Deficiencies have been noted on LIC 809D under Title 22 Regulations. Exit interview was conducted and a copy of this report, LIC 809D and appeal rights were provided to Andres Castellanos.