Facility Evaluation Report

On today's date, Licensing Program Analysts (LPA) LPA Rosie Quiroz conducted an unannounced visit for the purpose of conducting a required Annual inspection. LPA was greeted and granted entry into the facility by House Manager (HM) Kristine Guevarra. LPA Quiroz called Licensee/Administrator (L/AD) Uldarico Almiranez and discussed purpose of today's visit.

This is a Residential Care Facility for the Elderly, licensed to provide services to age range 60 and over, approved for capacity of (6) six Non-Ambulatory residents, of which 1 (one) may be bedridden and has a Hospice waiver approved for 4 hospice residents. There is currently one (1) resident receiving hospice care services. There are no active COVID-19 cases in the facility at this time.

AD Uldarico Almiranez has an Administrator certificate with expiration date of April 10, 2024. AD Almiranez indicated currently in process of renewing Administrator certificate, and agreed to submit copy of renewal to Community Care Licensing upon completion.

LPA along with (HM) Guevarra toured the interior and exterior of the facility. During today's inspection tour, LPA observed 3 of 6 Residents in the living room with staff supervision and 3 of 6 residents in their bedroom resting. LPA Quiroz interacted and interviewed with three caregivers and 3 of 6 residents during today's visit.

LPAs inspected resident's bedrooms and bathrooms. The water temperature in resident's bathrooms were recorded to be within normal limits. LPAs inspected resident's bedrooms and appeared to be clean. Facility temperature in resident's bedrooms and throughout the facility was recorded to be within normal limits. LPAs observed the emergency and disaster and evacuation plan. Facility has supply of emergency food, water in the garage and kitchen area and PPE in the medication closet readily available for staff and residents in care. Fire extinguisher observed last serviced on March 19, 2024. LPA observed functional and operational washer and dryer in the laundry room area. The disinfectants were observed to be locked and secured.