Facility Evaluation Report

Licensing Program Analysts (LPAs) Galarza and Gabriela Castro conducted an unannounced Required- 1 year visit. The purpose of the visit was explained to Executive Director Logan Harrison. The Residential Care For Elderly (RCFE) facility serves residents ages 60 and over.

Infection Control: The Infection Control Plan was reviewed. The facility has sufficient supply of Personal Protective Equipment (PPEs).

Operational Requirements: The facility has a hospice waiver for 8 residents. A fire clearance for 85 non-ambulatory residents; of which 7 may be bedridden is in place. Facility does not handle resident monies. Liability Insurance in the amount of at least ($1,000,000) per occurrence and ($3,000,000) in total annual aggregate is current with an expiration date of 12/31/2025. The facility does not have a Dementia waiver.

Physical Plant/Environment Safety: Facility is a 2-story building consisting of 73 resident rooms, 2 activity rooms, beauty salon, dining room, laundry room, and a courtyard patio area. The interior and exterior physical plant was inspected. Exit doors are free of any obstruction and there are no pools or large bodies of water. Cleaning supplies and toxic substances are inaccessible to residents. Beds had required bedding, linens, and mattress pads with the exception of (4 rooms). The signal system was tested and is operational. Water temperature readings did not measure within tthe required 105 - 120 degrees Fahrenheit. Cleaning supplies and toxic substances are inaccessible to residents. Exit doors are free of any obstruction and there are no pools or large bodies of water. There are evacuation chairs on facility stairwells to be used during an emergency as a path of egress from the facility to safety. The facility is equipped with sprinklers, smoke detectors, carbon monoxide detectors, and has charged fire extinguishers. The last fire inspection was conducted on 4/11//2025 by Cintas Fire Protection. NOTE: One of the facility elevators is non-operational.