Facility Evaluation Report

Licensing Program Analyst (LPA) Ryan Gardner made an unannounced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection. LPA met with Administrator Maria Aguilar and was granted entry to the facility.

The facility is a Residential Care Facility for the Elderly (RCFE). The facility is a three (3) bedroom, two (2) bathroom home with a kitchen/dining area, living room, and an attached garage. The facility is licensed for a capacity of six (6) non-ambulatory residents, one resident (1) can be bedridden. The current census is five (5) residents. LPA was accompanied by Administrator to conduct a general overall inspection, which included, but was not limited to, the following:

Physical Plant: The facility is operating within the capacity approved by Community Care Licensing (CCL). There are no obstructions to interior and exterior passageways. The facility is maintained at a comfortable temperature. LPA inspected resident bedrooms; they are equipped with required furniture such as: mattresses, nightstands, and storage space. LPA found that Resident R1’s bedroom does not have a working bedroom light. The only light in R1’s bedroom was the closet light. The facility will be issued a deficiency for not having appropriate lighting in R1’s bedroom. The bathrooms were clean, and appliances were operating appropriately. LPA observed sufficient furniture throughout the facility. LPA measured and observed the water temperature in the bathroom to be at 106.3 degrees F. The facility is equipped with operating smoke detectors and carbon monoxide alarms. Postings such as the facility license, personal rights, the CCL complaint poster, and the disaster plan were posted in a common area. Cleaning supplies, and toxins were kept inaccessible to the residents in care. The lock for the knives under the kitchen counter is not locked and the knives were accessible to the residents in care. The facility will be issued a deficiency for not locking the knives appropriately. There was a designated storage space for resident/staff files. Medications are kept inside the hallway leading the garage inaccessible to residents. The facility has a first aid kit stored in the hallway leading into the garage.