Facility Evaluation Report

Licensing Program Analysts (LPA) Zabel Chochian conduct a required annual visit at this facility.

Upon arrival, the LPA was greeted by staff and also the Administrator, Rose Anguiano. Reason for the visit was stated. Entrance interview conducted with Administrator - following updated records request were requested and obtained: facility residents and staff roster; fire and smoke alarm tests; dieticians report; facility's current liability insurance; Emergency and disaster plan. Administrator confirmed that they are operating according to the original facility plan of operation submitted and no changes have been made.

The LPA, staff and the Administrator toured the physical plant areas inside and outside to ensure facility is in compliance with Title 22 Regulations. KITCHEN: The LPA began the inspection in the kitchen/food service area at approximately 10:45am; Knives are stored and inaccessible to residents. Kitchen appliances were in operable condition. The facility has a sufficient supply of perishable and non-perishable food. At approximately 11am LPA observed several food items in the refrigerator and freezer not sealed properly and not dated. COMMON AREAS: At the time of the visit, furniture in the common areas were observed to be in good condition. The facility maintained a comfortable temperature. Smoke detector(s) and carbon monoxide detectors are tested and maintain operational. The fire extinguishers observed fully charged and were last serviced 10/20/2023. The LPA observed required postings throughout the common space. The LPA observed five (5) stairwells; each have an emergency evacuation chair at the 2nd floor. At approximately 11:35am one stairwell wall was observed in disrepair. RESIDENT BEDROOMS: The LPA observed the resident bedrooms, which were furnished appropriately with linens, appropriate furnishings, and sufficient lighting. At 11:53am, Room 259 window shades observed missing; room 259 and 267 floor tiles missing; Memory Care Hallway floor strips observed peeling off. The LPA did observe resident restrooms stocked with sufficient supply of toiletries; towels and hygiene items. RESTROOMS: Resident restrooms all observed with grab bars and non-skid surfaces. The bathrooms were sufficiently stocked with supplies and towels ( towels and washcloths are not shared). Room 112 and 212 had very low water flow from the faucet; room 220 restroom observed in unsanitary condition; and restroom drawer observed missing in room 259.