Facility Evaluation Report

Licensing Program Analyst (LPA) Edward Tapia made an unannounced required annual inspection at this facility. LPA met with staff and stated the purpose of this visit. Administrator Mary Jean Alvarado arrived after the inspection.

The facility is a single-level structure and licensed for six ambulatory of which five may be non-ambulatory with a hospice wavier for four. One may be bedridden. This facility offers Resident Care Facility for the Elderly/Dementia.

At about 12:54 pm, LPA Tapia was granted entry after completing the Coronavirus 2019 (COVID 19) screening procedure. For this visit, LPA observed residents in care and staff members on duty. LPA toured the interior and exterior portions of the facility. There were 5 resident rooms, 1 room was a shared room. Facility offers a staff room inaccessible to resident. Resident rooms were provided with furniture in good repair, clean linens, adequate storage space, and kept free of tripping hazards. Manual smoke detectors, carbon monoxide and auditory exit alarms were tested to be operational. Bathrooms were observed to be in good repair and hot water was measured at 115.1 degrees Fahrenheit. Facility met the minimum two-day supply of perishable and seven-day supply of non-perishable food stock requirements. Facility had adequate supplies of personal protective equipment in place. Fire extinguisher was observed. Kitchen was in good repair with cleaning supplies and sharps inaccessible to residents in care. LPA noticed unlocked staff medications in the pantry. Staff immediately removed medications. Facility offers a 2-car garage mainly used for storage with an operational washer and dryer and emergency supplies.