Facility Evaluation Report

Licensing Program Analyst (LPA) Gary Tan conducted an unannounced Required One (1) year visit at this facility today. LPA initially met with staff Vanessa Rodriguez who called the administrator and explained the reason for the visit. The Administrator Oscar Chavez arrived fifteen (15) minutes later.

A tour of the physical plant was conducted at 9:25 AM and the following was noted:

The facility consists of five (5) buildings, each house has one main entrance. There are required posters posted at each main door and all over the facility. Screening area is located immediately upon entrance. Sign in sheet and hand sanitizer is available. All the staff were observed to be wearing mask. The facility had an approved Mitigation Plan.

Signs to wear a mask and other COVID-19 prevention protocol signs were posted outside the door. Hand washing, coughing etiquette, physical distancing and other necessary signs were posted in the bathroom and all over the facility. The facility has multiple screening stations all through out the facility. The facility has sufficient stock of PPE in the storage room.

The facility has five (5) buildings with a total of (34) shared bedrooms. Each building has their own bathrooms ranging from one at building #3 up to five (5) on building #2. The facility is fire cleared for forty six (46) ambulatory and twenty two (22) non-ambulatory residents, ten (10) of which maybe bedridden in building #2 only. Approved hospice for ten (10) residents. Common areas were inspected. All buildings has its own living room. Activity room is located on building #4 and dining area is located on building #2. Dining area was observed to be neat, clean and in proper order. The facility maintains a comfortable temperature at 74°F. There are carbon monoxide detector installed in the facility. Fire extinguishers are located all throughout the facility and last inspected on 04/07/23. The facility is equipped with emergency pull alarm and sprinkler system. (continued to LIC 809-C)