Facility Evaluation Report

Licensing Program Analyst (LPA) Claudia Gutierrez made an unannounced visit for the purpose of conducting a Required/Annual Inspection. LPA was greeted and granted entry by Staff Dora Paola Alba. LPA met with Administrator (AD) Malia Enriquez Soliven and explained the purpose of the inspection.

LPA reviewed list of Guardian roster for facility and was unable to locate clearance for Staff Alba. Per AD, Staff Alba started working at the facility yesterday, August 5, 2024, and they had yet to associate them to the facility but stated a background check had been completed. AD was unable to provide LPA with a copy of background clearance for Staff Alba; a Deficiency was cited on today’s date.

During the inspection, LPA and AD conducted a tour of the inside and outside of the facility, common areas, resident rooms, kitchen, garage and observed the following:

This is a one-story home with three resident bedrooms, one staff bedroom, three bathrooms, and attached two-car garage. All resident bedrooms had the required furnishings. LPA observed all resident beds had linens and blankets. LPA observed all windows were screened. The backyard has a shaded sitting area. LPA observed residents watching television in the living room and resting in their respective bedrooms. Bathrooms were observed to be free of debris and mildew, faucets and toilets were operational. Water temperature tested at 113.0 degrees Fahrenheit.

LPA observed the facility has a 2-day supply of perishables and a 7-day supply of non-perishable food as required by regulations, however, multiple food items in the facility pantry and refrigerator were observed to be expired per expiration date displayed on their packaging; a Deficiency was cited on today’s date. Smoke detectors and carbon monoxide detectors tested operational. Fire extinguisher was observed to be fully charged. Gas stove, microwave, washer, and dryer were all inspected and observed to be operable. (Cont. LIC809-C)