Facility Evaluation Report

Licensing Program Analyst (LPA) Galarza conducted an unannounced Annual Continuation visit using the full Care Compliance and Regulatory Enforcement (CARE) Tools. The purpose of the visit was explained to Administrator Diana Bautista. The facility serves residents ages 59 and older. The following 12 (CARE) tool domains were utilized during the inspection:

Infection control practices and Personal Protective Equipment (PPEs) were observed. COVID-19 screening is still in place at the front desk. The facility has submitted a COVID-19 Mitigation Plan and Infection Control Plan.

An Infection Control Plan has been added to the Plan of Operation.

The facility has a Dementia Waiver in place and an approved Hospice Waiver for 20 residents. There are presently 23 residents enrolled in hospice care, which exceeds the approved waiver. Citation was issued.

A fire clearance for 114 non-ambulatory residents; of which 15 may be bedridden is in place. There are 4 bedridden residents in care.

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 6/2/2024.

No Surety bond is in place. Facility does not handle resident monies.