Facility Evaluation Report

Licensing Program Analyst (LPA), Kathrina Chin made an announced visit for a second pre-licensing evaluation. LPA met with Janella Cervania, Applicant and Karmian Calangi, Administrator. The first pre-licensing inspection was made on September 13, 2022 and several corrections were needed.

The facility has four bedrooms and two full bathrooms and one half bath. This is a single story with a two car garage. A fire clearance was granted on August 23, 2022 for 5 non-ambulatory and 1 bedridden. The facility is requesting for a hospice waiver for 4 residents.

2) A fire protective screen was placed in front of the fire place.

3) The facility posted an Ombudsman poster and the Let Us Know poster.

4) The facility posted activity calendars, theft and loss policy, residents rights, admission agreement, and emergency plans.

5) The hot water temperature was measured at 112 degrees F.

6) The facility has a COVID-19 screening station by the entrance.

7) The facility has more than a 30 day supply of PPE.

8) There is a tweezer inside the first aid kit and a first aid manual by the first aid kit.

9) There are two outdoor patio tables with umbrellas for shade.

10) Each bathroom has hand washing signs posted.

11) Remove all debris by the exit and side gate