Facility Evaluation Report

Licensing Program Analysts (LPAs) Janira Arreola and Aziz Faizi conducted an unannounced annual required visit. LPA was granted entry and met with Administrator, Monica Ortiz, who was informed of the purpose of the visit. At the time of the visit there was (2) staff and (2) residents present.

The facility is a one story home with (4) resident bedrooms and (2) bathrooms. No pools or firearms are housed at the facility. The facility is approved for (6) non ambulatory residents.

Physical plant, floors, windows, and doors were observed to be clean. Fixtures and furniture were in good repair were present. The outdoor area and passage ways were observed to be free of hazards. LPA observed hygiene supplies for residents, PPE, clean linens. There are designated locked areas for sharps, dangerous objects, cleaning supplies, and medications. During the visit LPAs observed unlocked cleaning supplies and gardening tools in the back yard and unsecured knife in the kitchen. A deficiency was documented and plan of correction was created. The smoke detector and carbon monoxide are operational, and the hot water temperature 118F. There are emergency supplies such as emergency lighting, complete first aide kit and emergency food and water. LPA observed facility kitchen had the ability to prepare food in clean environment and possessed equipment in good working condition. LPA observed the facility met the required 2-day supply of perishable and 7-day supply of non-perishable foods.