Facility Evaluation Report

Licensing Program Analyst (LPA) Edith Conchas made an unannounced visit to the facility to conduct a required comprehensive annual inspection. LPA met with House Manager, Teresita Espinoza and was granted entry to the facility. The facility is a one story, (6) bedroom, (3) bathroom, Residential Care Facility for Elderly (RCFE). The facility has a license capacity of (6), and a current census of (5). LPA conducted a general inspection of facility, which included, but was not limited to, the following:

Operation/Physical Plant: The facility is operating in the capacity approved by Community Care Licensing Division (CCLD). Indoor and outdoor passageways were kept free of obstruction. The facility has sufficient indoor and outdoor space for resident activities. Outdoor activity space is shaded and enclosed with a self-latching gate. Resident bedrooms were furnished with beds, bed linen, nightstands, storage space and sufficient lighting. Resident bathrooms were maintained clean and fixtures were operating properly. The hot water temperatures in the bathrooms measured between 105-120 degrees F. The facility is equipped with a covered fireplace, smoke detectors and carbon monoxide alarms, laundry equipment, and telephone service. The facility has posted in a common area Community Care Licensing complaint poster, Ombudsman poster, facility license, weekly menu, evacuation plan and emergency telephone numbers. Sharps were kept locked and inaccessible to residents in care. LPA observed chemicals and cleaning supplies were kept unlocked in the laundry room and under the sink. A deficiency was cited.