Facility Evaluation Report

Licensing Program Analyst (LPA) Claudia Gutierrez made an unannounced visit for the purpose of conducting a Required/Annual Inspection. LPA was greeted and granted entry by Staff Crisanta "Cristy" Gozar. LPA met with Administrator (AD) Eduardo Capistrano and explained the purpose of the inspection.

During the inspection, LPA and AD conducted a tour of the inside and outside of the facility, common areas, resident rooms, kitchen, garage and observed the following:

This is a two-story home, consisting of five resident bedrooms, two bathrooms, and attached two-car garage on the first floor. The second story is used solely as staff quarters. All resident bedrooms had the required furnishings. LPA observed all residents’ beds had linens and blankets. LPA observed residents watching television in the living room and resting in their respective bedrooms. Bathrooms were observed to be free of debris and mildew and faucets and toilets were operational. Water temperature tested between 126.5 – 129.5 degrees Fahrenheit; a Deficiency was cited on today’s date. LPA observed the backyard has a shaded sitting area and the facility has a 2-day supply of perishables and a 7-day supply of non-perishable food as required by regulations, however, kitchen door and exterior gate were locked. AD was advised regarding resident personal rights and removed both locks immediately; a Deficiency was cited on today’s date. Smoke detectors and carbon monoxide detectors tested operational. Fire extinguisher was observed to have last been serviced on March 9, 2024; a Deficiency was cited on today’s date. Electric stove, microwave, laundry washer and dryer were all observed to be operable. Toxic chemicals, cleaning solutions, and disinfectants were observed to be accessible to residents in the kitchen; a Deficiency was cited on this date. Medication was observed to be centrally stored and locked. (Cont. LIC809-C)