Facility Evaluation Report

Licensing Program Analyst (LPA) Patricia Velazquez conducted an unannounced visit to Sonia's Care Home. The purpose of today's visit was to conduct a Required 1 Year inspection. LPA Velazquez was allowed entry into the facility and met with Caregiver Daysi Guzman. Administrator (AD) Manuel Perez was also present. The facility is licensed for 6 non-ambulatory residents. There are currently 5 residents living in the facility. AD Perez indicated one resident was in the hospital. LPA Velazquez then requested a copy of the Serious Incident Report (SIR) LIC 624 and AD Perez indicated he was not aware he had to submit an SIR to Licensing when a resident is hospitalized. The last emergency disaster drill was conducted on March 19, 2022.

At 10:27 AM LPA Velazquez conducted a tour of the physical plant along with AD Perez. The 1 story home consists of 5 resident bedrooms with 2 bathrooms. There is 1 staff bedroom with 1 staff bathroom. The facility also has 2 living rooms, dining area, and kitchen. The 5 residents in the facility appeared well-groomed and well cared-for. The resident bedrooms had the required furnishings, bed linens, and closet/drawer space to accommodate each resident comfortably. LPA Velazquez observed a postural support bar on two of the resident beds. AD Perez indicated he did not have a written physician's order for the postural support bar for the 2 residents. LPA and AD observed a sliding glass door in one of the living rooms did not have an auditory alarm and the facility has residents with Dementia. AD verified the sliding glass door did not have an auditory alarm pursuant to Title 22 regulation. During the visit an auditory alarm was purchased and installed which LPA Velazquez verified. Resident bath towels and personal hygiene supplies were adequately stocked. Resident bathrooms were checked. Toilets and water faucets worked properly, grab bars were secure, showers were free of mold/mildew and a non-skid surface or mat was in place.