Facility Evaluation Report

On 02/29/2024 at 12:00 NOON, Licensing Program Analyst (LPA) Jose Calderon conducted an unannounced annual inspection visit at the Angelic Care of South Bay Facility. LPA Calderon was allowed entry into the facility by Administrator Jemimah Mejia. Administrator Jemimah Mejia asked infection control questions and took LPA Calderon temperature prior to entrance into the facility. The facility is licensed to operate for six (6) non-ambulatory elderly adults of which two (2) may be bedridden ages 60 and above. Currently, the facility has six (6) residents and two (2) in hospice care. The facility is approved for two (2) hospice residents.

LPA Calderon explained to Administrator Jemimah Mejia, the purpose of the one-year Annual Inspection visit, and escorted LPA Calderon on a tour of the entire inside and outside facility grounds. As part of the inspection, LPA Calderon reviewed: Six (6) client service records, six (6) client medication records, three (3) staff records, and inspected the inside facility and outside grounds. LPA Calderon interviewed six (6) clients and three (3) staff members for visit. The facilities’ last fire drill was conducted on 12/13/2023 . The one-story residential home consists of five (5) client bedrooms, three (3) client bathrooms, living room, dining room, kitchen, staff room, office area, attached garage with washer and dryer/ storage area, backyard with table and chairs. No weapons are stored in the premises. Kitchen was inspected and observed to be clean and operational. A two-day supply perishable and seven-day supply of non-perishable foods are present in the facility. Emergency Water Storage is in the garage and kitchen area.