Facility Evaluation Report

On 01/18/2024 at 2:10 PM, Licensing Program Analyst (LPA) Regina Cloyd conducted an unannounced Required – Annual Inspection and met with Dina Paras. Administrator Teresa Guanlao joined us later. Five (5) residents and two (2) staff were present during this inspection.

Facility is licensed to serve facility licensed to serve six (6) non-ambulatory residents over 60 years old. The facility is approved for six (6) hospice residents. The facility currently has one hospice resident.

The facility is a single-story structure located in a residential neighborhood. It consists of the following: four (4) bedrooms of which two (2) are private rooms and two (2) are shared rooms, 2 bathrooms, a living area, dining area, kitchen, and outside covered patio area.

Staff accompanied LPA inside and outside the facility during this inspection. Outside grounds were toured and no bodies of water were observed.

Resident bedrooms had the required furniture, bed linens and closet/drawer space to accommodate each resident comfortably. There are no security bars or weapons on the premises.

Resident bathrooms were checked. Toilets and water faucets worked properly, grab bars were secure, shower was free of mold/mildew and a non-skid mat was in place . Resident bath towels, toiletries and personal hygiene supplies were adequately stocked.