Facility Evaluation Report

Licensing Program Analyst (LPA) Galarza conducted an unannounced annual inspection visit. The purpose of the visit was explained to caregiver Andres Hernandez. The facility serves elderly residents ages 60 and older.

Infection Control: The Infection Control Plan was reviewed and includes environmental cleaning and disinfection activities. Facility has sufficient Personal Protective Equipment.

Operational Requirements: A Dementia and hospice waiver for 4 residents has been approved. The facility has a fire clearance for 6 non-ambulatory residents. Facility does not handle resident P & I monies. Liability Insurance in the amount of at least ($1,000,000) per occurrence and ($3,000,000) in total annual aggregate is current and expires 8/26/2025.

Physical Plant/Environment Safety: The facility is located in a residential neighborhood that consists of 4 resident rooms, 2 bathrooms, dining room/ living room, office, laundry room, medication/storage room, outdoor patio area, and detached garage. Smoke and carbon monoxide detectors were tested and are operational. The facility has three (3) fire extinguishers. Water temperature readings measured within the required 105 - 120 degrees Fahrenheit. The facilit y has a 1st Aid Kit and Manual. The last Emergency Disaster drill was conducted on 5/30/2025. Cleaning supplies and knives were locked. Exit doors are free of any obstruction and there are no pools or large bodies of water.

Medication pills in dispensing cups were observed in an unlocked kitchen drawer. Alcohol/alcoholic drinks were observed unlocked in the bottom kitchen cabinet which pose a safety risk to Dementia residents.

Staffing: A total 8 staff members provide care and supervision to the clients.