Facility Evaluation Report

LPA Licensing Program Analyst (LPA) Blanca Gonzalez conducted an unannounced required annual inspection visit and was greeted by Administrator Jasaiel De Leon. LPA Gonzalez explained the purpose of the visit.

The facility is located on a main street in the city of San Dimas and is licensed to serve the elderly 60 and above, fire clearance for six (6) non- ambulatory, facility main retain one (1) hospice resident and has a dementia program.

The facility is a single story home consisting of a kitchen, dining area, living room, four (4) resident bedrooms and two (2) bathrooms, laundry room, a front yard and a backyard.

LPA utilized the Compliance and Regulatory Enforcement (CARE) tools for the visit today and observed the following:

Physical Plant and Environment safety: Disinfectants, cleaning solutions, poisons and other items that could pose a danger if readily available to residents, were observed to be inaccessible to residents, secured in the locked laundry room. LPA observed carbon monoxide detector in the hallway, was tested and is operable. Smoke detectors observed in the hallway and resident bedrooms, were tested and are operable. LPA inspected four (4) resident rooms. All resident bedrooms contained required furniture, linens and lighting. Water temperatures in all grooming and bathing areas were measured to be with 105 – 120 degrees F. LPA observed grab bars near toilets and inside showers. LPA observed no-slip flooring in showers. Showers were observed to be wheelchair accessible.