Facility Evaluation Report

Licensing Program Analysts (LPA’s) Shannan Hansen & Julie Florio conducted an unannounced required annual inspection of this facility and met with Licensee/Administrator Elvira Gazal. Facility has 6 residents in care, 1 receiving hospice care and 4 residents with dementia diagnosis.

At approximately 9:00 AM LPA’s toured the building and grounds with Licensee, which was found to be clean and in good repair. LPA's observed all walkways and exits to be unobstructed. Some residents have call buttons which sound in kitchen area. All notices that are required to be posted have been posted and are in a highly visible area. The amount of fresh and nonperishable foods is within regulation. Facility kitchen, refrigerators and freezers were clean, and food was stored properly. Toxins are stored in locked garage and locked hallway closet. Water temperature measured between 116.4 and 118.7 degrees F which is within regulation between 105 and 120 degrees F in 2 out of 2 faucets accessible to residents. There was an ample supply of cleaners, hygiene products and paper products available for residents. Bathrooms were equipped with necessary grab bars and non-slip floors/mats. Fire extinguisher inspected was last charged on 1/2/2024. Smoke detectors and Carbon Monoxide detector was tested and found to be in working order. Facility has fire pull station located by front door. There was enough lighting in all common areas, resident rooms, and hallways. Medication is centrally stored and secure in kitchen along with small refrigerator with lock for medication.

Facility to ensure that approved Admissions Agreements are always posted and/or accessible to public view in the facility as per Title 22 Regulations # 87507 (e)(2) Admissions Agreement “The licensee shall conspicuously post in a location accessible to public view in the facility a complete copy of the approved admission agreement , modifications and attachments, or notice of their availability from the facility.”