Facility Evaluation Report

On 08/23/2022, Licensing Program Analyst (LPA) Jessica Cho conducted an unannounced visit to John Villa's Home Care I. The purpose of today's visit was to conduct a Required 1 Year focusing primarily on the Infection Control. At 12:30pm, LPA Cho was allowed entry into the facility and met with Licensee/Administrator (Admin) Villa Diaz after completing the Coronavirus 2019 (COVID-19) screening procedure. Caregiver Princess Diaz was also present at this time. Administrator Juan Diaz arrived at the facility around 12:47pm to assist with the tour. As of today, there are no active COVID-19 cases in the facility. Facility screens and documents temperatures for visitors on a sign in sheet. LPA observed the required COVID-19 precautionary signs posted on the front door and throughout the facility. LPA observed the Complaint Poster (PUB475) in the size of 9"x18" which did not meet the size requirement. The facility is licensed for six non-ambulatory residents and has a hospice waiver for four. There are currently six residents living in the facility of which four are receiving hospice care. The Administrator's Certificate for Villa Diaz expired on 06/22/2022 and on 05/24/2024 for Juan Diaz. Admin Juan provided proof of receipt for Villa's Administrator's Certification application which was submitted on 06/16/2022.

At 12:42pm, LPA Cho conducted a tour of the physical plant along with Administrator Juan. The single story home consists of three resident bedrooms with one resident bathroom. There are two staff bedrooms and one staff bathroom. The facility also has a living room, dining area, kitchen, and an attached two car garage. The resident bedrooms had the required furnishings, bed linens, and closet/drawer space to accommodate each resident comfortably. Resident bathroom was checked. Toilet and water faucet worked properly, grab bars were secure, shower was free of mold/mildew, and a non-skid mat was in place. Resident bath towels and personal hygiene supplies were adequately stocked including paper towel and hand soap. LPA observed hand washing signs in all bathrooms. LPA Cho tested the hot water temperature in the resident bathroom and the temperature measured at 111.0 degrees Fahrenheit in the Bathroom #1.