Facility Evaluation Report

At approximately 10:45 AM, Licensing Program Analyst (LPA) Julie Florio arrived unannounced to conduct a required 1-year annual inspection and was greeted by Susanna Villasenor, Licensee. Carisma Patterson, Administrator was contacted via telephone and arrived at approximately 11:00 AM. Facility is a Residential Care Facility for the Elderly (RCFE) with three (3) residents in care. All residents were present during today's inspection. Facility has a hospice waiver for six (6), bedridden waiver for one (1), and is approved for all non-ambulatory residents.

At approximately 11:30 AM, LPA initiated a tour of the facility with Administrator and observed the following: Facility is a one story home, was a comfortable temperature, and passageways were free from obstructions. LPA observed the required postings in the facility's entryway. Water temperatures in residents' bathrooms measured within the allowable range of 105 to 120 degrees F per Title 22 regulations. LPA observed a supply of clean linens, and hygiene, incontinent care, and paper products available for residents. Residents' bedrooms were inspected and observed 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 observed locked. Facility has at least two days of perishable food and one week of non-perishable foods, as well as an emergency water supply. Medications were centrally stored and locked. There is a shaded seating area in the backyard with outdoor space for gardening and activities. LPA inspected two locked sheds in the backyard which contained holiday decor, care equipment, PPE, tools, chemicals, and a back up generator for emergency preparedness.

LPA observed residents watching TV or working on puzzles in the common area of the facility.