Facility Evaluation Report

On 08/07/2024 at 9:30 am Licensing Program Analyst (LPA) David España conducted an unannounced Required-1-year annual visit. Upon arriving at the facility, LPA met Ivan Bravo, Administrator who assisted with the visit. The purpose of today’s visit was discussed. Upon arrival at the facility, LPA conducted a risk assessment at the front door. Based on the assessment, the facility is clear of Covid-19 infection. LPA was granted access and allowed to enter the facility to conduct inspections. LPA met with Administrator Ivan Bravo and explained the purpose of today’s visit. The facility is a Residential Care Facilities for the Elderly (RCFE) licensed for six (6) non-ambulatory clients. Currently, there is three (3) residents residing in the facility, all 60 or older. The facility is a two-story structure located in a residential neighborhood. It consists of the following: four (4) resident rooms downstairs with two bathrooms, living room, dining room, kitchen, outside laundry room. The second floor consists of three (3) staff bedrooms, an office, and spare room. No weapons are stored in the premises. Kitchen was inspected and observed to be clean and operational. LPA and Administrator toured the physical plant. There were no bodies of water or obstructions on the premises. Beds and bedding supplies were in good condition, adequate lighting provided, storage for client personal belongings was observed. Facility Evaluation Report continued LIC-809-C