Facility Evaluation Report

On 4/30/2024, Licensing Program Analyst (LPA) Alfonso Iniguez conducted an unannounced annual required using the CARE Inspection Tool. LPA met with Evangeline Agatep /Licensee. LPA explained the purpose of today’s visit. The facility is licensed to serve (6) elderly adults ages 60 and above of which (6) can be non-ambulatory and (1) bedridden in bedroom #3 only. Facility has an approved hospice waiver for (2).

The facility is a single-story structure located in a residential neighborhood. It consists of (3) bedrooms, (2) full bathrooms, shaded back yard, front yard, laundry room in the attached 2 car garage.

LPA Iniguez toured the physical plant with Executive Director. There were no bodies of water or obstructions on the premises. A total of (3) rooms were inspected. Beds and bedding supplies were in good condition, adequate lighting was provided, and storage for the residents’ personal belongings was observed. Bathrooms were found to be within Title 22 regulations and were operational. LPA inspected (3) rooms and (2) bathrooms. Smoke and carbon monoxide are all operable conditions. The water temperature ranged from 113.5F° – 115.2F°. The room temperature ranged from 76F° – 78F°.