Facility Evaluation Report

Licensing Program Analyst (LPA) Bernadette Allen conducted an unannounced visit to conduct an annual inspection. The LPA met with Ivan Bravo and informed him of the purpose of the visit.

The facility is licensed to serve 6 non-ambulatory residents and currently has a census of (0). The facility does not handle any of the resident’s money.

This home is a one story home consisting of: (4) resident bedrooms, (4) bathrooms, living room, kitchen with a dining room, and laundry area (located in the back of the facility a shaded patio area located outside the facility in the front of the house.

The resident’s bedrooms had the required furniture, lamps, adequate bed linen and closet/drawer space to accommodate each resident. Resident bathrooms were checked and found to be sanitary and within Title 22 regulations. Toilets flushed and water faucets worked properly, grab bars were secure, showers were free of mold and mildew.

The water temperature measured between 105F and 110F. LPA observed personal hygiene supplies adequately stocked. Common areas such as the dining room and living room were clean and clear of hazards; doorways were free of obstruction.