Facility Evaluation Report

At approximately 8:15AM, Licensing Program Analyst (LPA) Chris Arnhold made an unannounced annual required inspection of this licensed senior care facility. LPA met with Eliseo Alcasid. At approximately 8:45AM, LPA toured the building and grounds which was found to be clean and in good repair. LPA observed all walkways and exits to be unobstructed. 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 a locked storage closet. Water temperature measured within regulation between 105 and 120 degrees F at faucets accessible to residents. Fire extinguishers inspected were charged. Smoke detectors were found to be in working order. Carbon Monoxide detectors were present. There was enough lighting in all common areas, resident rooms, and hallways. Medication is centrally stored and secure.

At approximately 8:45AM, LPA reviewed 2 of 2 resident records which contained all the required documentation, including signed admission agreements. Medication records are thorough and contained physician's orders for each resident.

At approximately 9:15AM, LPA reviewed 2 staff records. All records contained evidence of completed staff training and evidence of current first aid and CPR training.

At approximately 9:45AM, LPA reviewed the facility emergency disaster plan. Facility has a generator to supply power during an outage. Facility has supplies enough to operate for more than 72 hours in an emergency. Facility conducts and documents disaster drill drills quarterly.

LPA received the following documents during visit for the facility file.

Evidence of Liability Insurance, LIC308, LIC500 and Register of Residents.