Facility Evaluation Report

On 05/07/2025 Licensing Program Analyst (LPA) Jose Anguiano and Licensing Program Analyst Ernand Dabuet conducted a continuation unannounced visit to facility Sedona Guest Home. The purpose of today’s visit was to conduct the one- year inspection, LPA met with Caregiver Nicanor Santos. Facility is licensed to serve clients 60 years of age and older with a capacity of 6 non- ambulatory residents. Currently the facility has 4 residents in care and 1 resident in Home Health with a total of 4 census. The facility does not have an approved hospice waiver.

According to the annual inspection on 04/23/25, LPA Anguiano identified the following deficiencies during that inspection visit and returned to the facility to cite deficiencies from the prior inspection visit.

During the inspection, LPA Anguiano observed that facility failed to notify CCL of alterations done to the garage as a 2-bedroom living space was added to the physical plant. Staff 1-3 first aid (CPR) were found to be expired. Resident’s medications were not stored and locked securely and were accessible to residents. Residents (MAR) PRN medication records were found to be incomplete since 04/09/2025.

Deficiencies were cited during this inspection visit.

An exit interview was conducted, and a copy of this report was provided to Nicanor Santos.