Facility Evaluation Report

Licensing Program Analyst (LPA) Rose Ruppert made an unannounced visit to the facility today to conduct an Annual Required Evaluation. LPA was greeted and granted entry by Bonifacio Briones, House Manager at 1pm.

The facility is a single story residence with three resident bedrooms and one staff bedroom. The facility has an approved fire clearance of five non-ambulatory residents of which one may be bedridden and a hospice waiver for six. The facility currently has a census of six residents in care.

During today’s visit, LPA toured the facility and inspected the physical plant, including but not limited to testing all smoke detectors, testing hot water temperature in two of two resident bathrooms, and testing auditory devices on all exits . The hot water temperature measured between 117.8 and 127.0 degrees Fahrenheit and a Type A deficiency will be cited. House Manager was advised to lower water heater temperature and to secure cleaning products in the main bathroom cabinet. All smoke detectors were operational . The fire extinguisher is charged and was serviced on September 13, 2023. The facility did not have a fire drill on file .

LPA inspected the facility food supply and observed the facility retained a minimum of two days perishable and seven days non-perishable food on hand. The weekly menu was posted on refrigerator. LPA observed medication storage and reviewed the centrally stored medications. Per review medications are being given as prescribed. The First Aid kit has all the required elements but did not have a First Aid book.