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 Juanito Alejo. Administrator (AD) Imelda Reyes arrived at approximately 9:00 a.m. and the purpose of the inspection was discussed.

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, consisting of four resident bedrooms, one staff room, two bathrooms, and detached two-car garage. LPA observed Residential Care Facility for the Elderly (RCFE) Complaint Poster (PUB 475) to be posted in the main entryway of the facility, however, did not meet regulatory 20” x 26” in size requirement; a Technical Violation was issued on today’s date. All resident bedrooms had the required furnishings. LPA observed all residents’ beds had linens and blankets. 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 and faucets and toilets were operational. Water temperature tested between 106.3 – 106.7 degrees Fahrenheit. LPA observed the backyard has a shaded sitting area and the facility has a 2-day supply of perishables and a 7-day supply of non-perishable food. Smoke detectors and carbon monoxide detectors tested operational. Fire extinguisher was observed to be fully charged. Gas stove, microwave, laundry washer and dryer were all observed to be operable. Toxic chemicals, cleaning solutions, and disinfectants were observed to be inaccessible to residents. (Cont. LIC809-C)