Facility Evaluation Report

On 12/09/22, Licensing Program Analyst (LPA) Ernand Dabuet conducted an unannounced annual required visit with a primary focus on Infection Control measures using the CARE Inspection Tool. LPA met with administrator Jonathan Espiritu and explained the purpose of today’s visit. The facility is licensed to operate for six (6) elderly ambulatory adults of which two (2) may be non-ambulatory. The facility is approved for two (2) hospice residents.

The facility is a single-story structure located in a residential neighborhood. It consists of the following: (4) resident's rooms, three (3) common bathrooms, a living area, a dining area, a kitchen, and an outside covered patio area.

LPA and licensee toured the physical plant. There were no bodies of water on the premises. All rooms were inspected. Beds and bedding supplies were in good condition, adequate lighting was provided, storage for resident personal belongings was observed. Bed linens, comforters, and bath towels were adequately stocked at the time of visit. Bathrooms were found to be within Title 22 regulations and were clean and operational. The hot water temperature was tested at 108.1 F. A comfortable temperature of 73 degrees was maintained in the facility.

LPA observed the facility to be appropriately furnished at the time of visit. Storage areas for personal hygiene, and sharps objects were stored and not accessible to residents. The kitchen was inspected and there is sufficient perishable and non-perishable food available maintained properly. The facility has several fire extinguishers that were charged, smoke detectors, and carbon monoxide was operable.The facility conducted a Fire/Safety Drill on 12/04/22. A working landline telephone remains available. The facility has a current liability insurance effective 06/09/22 - 06/09/23.