Facility Evaluation Report

At approximately 10:45 AM, Licensing Program Analyst (LPA) Elias Magdaleno arrived unannounced to conduct a required 1-year annual inspection and was greeted by Administrator Rufus Zingkhai. Facility is a Residential Care Facility for the Elderly (RCFE) with eighteen (18) residents in care. Facility is approved for twenty-seven (27) non-ambulatory residents with one (1) bedridden.

At approximately 10:55 AM, LPA initiated a tour of the facility with Administrator and observed the following: Facility is a one (1) story home, was a comfortable temperature, and passageways were free from obstructions. Fire extinguishers were last inspected 8/25. Smoke and Carbon Monoxide detectors were tested and operational during inspection. Water temperature measured 105.1 degrees F, which is within the allowable range of 105 to 120 degrees F per Title 22 regulations. LPA observed a supply of clean linens, hygiene, incontinent care, and paper products available for residents. LPA conducted a spot check of residents' bedrooms and observed them to have all the appropriate furnishings as outlined in Title 22 regulations. Cabinets containing cleaning supplies and other items that could pose a risk were locked.

LPA observed at least a two (2) day supply of perishable and seven (7) day supply of non-perishable food, as well as an emergency water supply. Food was found to be stored in a safe manner with open items covered. Facility has an internet access device and internet available to residents in care, and the phone was tested and operational during today's inspection.