Facility Evaluation Report

Licensing Program Analyst (LPA) Daniel Konishi conducted the unannounced required annual inspection. LPA arrived unannounced and met with Caregiver Sandra Portillo Alvarde. Administrator, Lorraine Lopez, arrived shortly thereafter to assist. The purpose for the visit was explained. The facility is licensed for residents ages 60 and over. 6 Ambulatory, of which 5 may be non-ambulatory and 1 may be bedridden. Hospice Waiver for 6 residents. Currently, there are two (2) residents are on hospice.

LPA utilized the Compliance and Regulatory Enforcement (CARE) tools for the visit today and observed the following:

1. Infection Control: Facility has an updated infection control plan in place. The facility staff and residents continue to practice the hand washing and disinfecting the facility each shift. The facility has sufficient PPE supplies.

2. Operational Requirement: The facility has approved for 5 non-ambulatory and 1 may be bedridden currently there's only one resident is bedridden which is within the fire clearance requirement. LPA observed current Liability insurance in place. The facility has a dementia care plan to accept or retain residents with dementia.

3. Physical plant and Environmental Safety: The facility is a single-story house and located around the neighborhood area. The facility include living room, staff break room with a divider, six residents’ bedrooms, three residents’ bathrooms, kitchen, dining area, family room and attached garage. Laundry washing machine and drying machine is in the garage.