Facility Evaluation Report

Licensing Program Analyst (LPA) Mary Rico made an unannounced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection. LPA met with caregiver Hilda A. Gutierrez and was granted entry to the facility. The Administrator Brandon Gutierrez was contacted and informed about today’s visit, the Administrator stated they were at their other facility, Green Merrylands (361880543) and were unable to leave. Based on record review, Administrator Brandon Gutierrez is also listed as the designated Administrator at Green Merrylands. LPA was accompanied by caregiver Hilda A. Gutierrez, to conduct a general overall inspection, which included, but was not limited to, the following:

Physical Plant: The facility is operating in the capacity approved by Community Care Licensing (CCL). There are no obstructions to indoor and outdoor passageways. The facility is maintained at a comfortable temperature. LPA inspected resident bedrooms; they are equipped with required furniture such as: mattresses, nightstands, storage space, and sufficient lighting; bathrooms were clean, and appliances were operating appropriately. LPA observed sufficient furniture and lighting throughout the facility. The facility is equipped with operating smoke detectors and carbon monoxide alarms. Posters such as personal rights, the CCL complaint poster, and the disaster plan were posted in a common area. During facility tour, LPA Rico observed R1/R2 had cleaning solution located under resident’s bathroom cabin without a lock. Cleaning solution was immediately removed.

Food Service: Non-perishable and perishable food supply is sufficient for number of residents in care. Facility has a variety of food available for residents . Dishes, cups, and utensils were also stored properly.