Facility Evaluation Report

On this day, Licensing Program Analyst (LPA) Kevin Saborit-Guasch made an unannounced visit to the facility for the purpose of conducting the Required Annual Inspection. LPA was greeted and granted entry by facility administrator Juan Garcia Trujillo staff after introducing himself and stating the reason of the visit.

During the inspection, LPA and staff conducted a tour of the physical plant and observed the following: The facility is a two-story home with two shared bedrooms and one private room in addition to the facility's common living areas and one attached garage. The second level of the house is for use by staff exclusively. There are two bathrooms including one en-suite bathroom. All bathrooms are observed to be equipped with grab bars and slip mats. All resident bedrooms have the required furnishings. LPA observed all beds have linen and blankets. One bed is observed to be equipped with full rails. Physician order and hospice plan of care reviewed..

There are currently four residents admitted to the facility, one of which is receiving hospice care. Bathrooms faucets and toilets are operational. Water temperature was measured to be approximately 110F. LPA observed emergency disaster plan with means of exiting and emergency phone numbers listed. Drills are conducted quarterly, they are however not documented. Consultation provided on Technical Assistance Advisory Note. LPA observed the facility has a 2-day supply of perishables and a 7-day supply of non-perishable. Smoke and carbon monoxide detectors tested operational. Fire extinguisher present is fully charged and has been maintained in 2024.

There is adequately shaded outside space with outdoor furniture present. There are self-latching gates on both sides of the property. The routes of egress are free of obstructions. There is an adequately fenced empty swimming pool on the premises.