Facility Evaluation Report

Licensing Program Analysts (LPAs) Galarza and Gabriela Castro conducted an unannounced Required- 1 year visit. The purpose of the visit was explained to Executive Director Subishsani Kumar. The Residential Care For Elderly (RCFE) facility serves cognitively impaired residents ages 60 and over.

Infection Control: The Infection Control Plan was reviewed. The facility has sufficient supply of Personal Protective Equipment (PPEs).

Operational Requirements: The facility has a hospice waiver for 20 residents. All bedrooms are approved for non-ambulatory residents. Facility does not handle resident monies. Liability Insurance in the amount of at least ($1,000,000) per occurrence and ($3,000,000) in total annual aggregate is current with an expiration date of 2/1/2026. The facility entire facility serves residents with Dementia.

Physical Plant/Environment Safety: Facility is a 2-story building consisting of 43 resident rooms, 2 activity rooms, outdoor courtyard, 2 dining rooms, side patio in 1st floor, 2nd floor terrace patio, conference room, lobby room, kitchen, employee lounge, and office.The interior and exterior physical plant was inspected. Exit doors are free of any obstruction. There is a water fountain located in the 1st floor. Cleaning supplies and toxic substances are inaccessible to residents. Most beds had required bedding, linens, and mattress pads with the exception of 10 beds. The signal system was tested and is operational. Water temperature readings did not measure within tthe required 105 - 120 degrees Fahrenheit. There are evacuation chairs on facility stairwells to be used during an emergency as a path of egress from the facility to safety. The facility is equipped with sprinklers, smoke detectors, carbon monoxide detectors, and has charged fire extinguishers. The last fire inspection was conducted on 3/13/25 by State of CA Fire Marshall. Rooms 110, 115, and 210 had oxygen tanks in the rooms but no signs of "No Smoking-Oxygen in Use".