Facility Evaluation Report

At approximately 10:15 AM, Licensing Program Analyst (LPA) Julie Florio arrived unannounced to conduct a required 1-year annual inspection and was greeted by facility Staff. Alma Fuentes, Administrator, was contacted via telephone and arrived within approximately five minutes. Facility is a Residential Care Facility for the Elderly (RCFE) with five (5) residents in care. Facility has a Dementia Care Plan, a Hospice waiver for one (1), and is approved for six (6) residents. Facility does not currently have any Hospice residents in care.

At approximately 10:45 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. Water temperatures in residents' bathrooms measured slightly above the allowable range of 105 to 120 degrees F per Title 22 regulations. Administrator agrees to monitor the temperatures to operate within regulation. 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. However, LPA observed supplements in the medicine cabinet of an unlocked staff bathroom and an open bottle of wine in the facility refrigerator. Administrator had staff secure both immediately. 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 activities. LPA inspected three locked sheds in the backyard which contained care equipment, tools, and chemicals. LPA also observed two trailers on the premises which are currently being used for staff living quarters.