Facility Evaluation Report

Licensing Program Analyst (LPA) Jessica Cho arrived at the facility unannounced for the purpose of conducting the Required 1-Year annual evaluation using the CARE Inspection Tool. LPA was greeted and granted entry by Caregiver Esmeralda Flores Quijada after introducing and stating the reason for the visit. Administrator (Admin) Rebekah Buboi arrived on premise. Admin does not have a valid administrator's certificate and registered course work on today's date.

The following was observed during the inspection:

This is a two story property comprised of five resident bedrooms and two resident bathrooms. The second second floor is occupied by the licensee's family member which residents do not have access to. Facility is operating within the conditions and limitations specified on the license. LPA observed one staff on duty as the second individual was out grocery shopping. LPA observed six residents in care, one of which is receiving hospice service. LPA toured the interior portion of the facility. The facility is clean and in good repair. All common areas were inspected including the attached two car garage. LPA inspected all resident bedrooms. The resident bedrooms' were appropriately furnished, beds and bedding supplies were in good condition, adequate lighting was provided, and sufficient storage space for each residents' personal belongings were observed. All bathrooms were found be in compliance, clean, and operational. Slip resistant mats were available. The hot water temperature in the bathrooms measured at 120.0 and 116.7 degrees Fahrenheit. Toxins, disinfectants, sharps, and medications were secured and inaccessible. LPA observed sufficient two-day supply of perishables and seven-day supply of non-perishable food.