Facility Evaluation Report

Licensing Program Analyst (LPA) Edward Tapia made an unannounced required annual inspection in this facility. LPA met with staff Arnold Andal and Benjamin Agnote and stated the purpose of this visit. Administrator Noel Villegas arrived during the visit at 12:35 PM and provided assistance.

The facility is a single level structure and licensed for five ambulatory and one non-ambulatory. This facility offers a Level IV-I service.

About 11:37 AM, LPA Tapia was granted entry after completing the Coronavirus 2019 (COVID 19) screening procedure. For this visit, LPA observed six clients in care and four staff members on the duty. LPA toured the interior and exterior portions of the facility. There were six private client rooms and two private staff rooms. Residents rooms were provided with furniture in good repair, clean linens, adequate storage space, and kept free of tripping hazards. Manual smoke detectors, carbon monoxide, fire alarms and auditory exit alarms were tested to be operational. Bathroom (1) was observed to be in good repair and hot water was measured at 112.6 degrees Fahrenheit. Bathroom( 2) was observed to be in good repair and hot water was measured at 112.6 degrees Fahrenheit. Bathroom( 3) was observed to be in good repair and hot water was measured at 112.6 degrees Fahrenheit. Facility met the minimum two day supply of perishable and seven day supply of non-perishable food stock requirements, cleaning supplies and sharp items were inaccessible to clients in care. Facility had adequate supplies of personal protective equipment in place. Fire extinguishers were observed. For the exterior portion, facility had outside furniture in good repair; and grounds were free of tripping hazards. . Laundry room was in good repair. Medications and toxins where locked and kept away from residents. Kitchen was in good repair with knifes kept locked. LPA Tapia reviewed the COVID 19 mitigation plan of the facility.