Facility Evaluation Report

Licensing Program Analysts (LPA) Seo Jeon, Andrei Castillo and Ferrer Sabarias conducted an unannounced annual required visit. Upon entry, LPA was greeted by Gina Padilla, caregiver, and informed them of the purpose of the visit. At the time of the visit, there were three staff members and one resident present.

Facility Overview: The facility is a one-story home with four bedrooms and three bathrooms, including an attached garage. There are no pools or firearms on the premises.

Infection Control: LPA observed that hygiene and cleaning supplies were available for regular facility maintenance. The facility’s infection control plan was reviewed and found to meet department requirements.

Physical Plant: The physical plant, including floors, windows, and doors, was clean and well maintained. Fixtures and furniture were in good repair. The outdoor area was free of hazards. Laundry equipment was in good working condition. Fire extinguisher located in the kitchen had current inspection tag. Sharp and dangerous objects were securely locked and inaccessible to residents. Both the smoke detector and carbon monoxide detector were operational, and the hot water temperature was 106.1°F.

Food Service: The facility’s kitchen was clean and equipped to prepare food. The facility maintained the required two-day supply of perishable foods and a seven-day supply of non-perishable foods.