Facility Evaluation Report

Licensing Program Analyst (LPA) Cassie Yang arrived unannounced to the facility to ensure the health and safety of residents in care. LPA met with Caregivers Tim Baquerfo, Carlo Mariano, and Mae Castaneda and explained the purpose of the visit.

Note that at time beginning of visit, census was four (4). At time of concluding report, census is three (3) as one resident passed away. LPA observed family members and hospice was contacted. LPA spoke with residents (R1 and R2) family members.

LPA observed Caregiver Manuel Lasap arriving to the facility to collect payroll payments.

LPA observed the facility to have adequate 2+ days of perishable foods present in the refrigerator. LPA was informed by staff that food is starting to run low but caregiver will grocery shop once his shift was over.

LPA conducted a resident file review and was unable to find 3 out of 4 residents file. LPA was only able to locate R3's file. LPA was informed staff had previously asked for residents files but was informed "she said she'll take care of it". Additionally when asked why files are not safeguard, LPA was informed Licensee said a file cabinet was ordered already from Home Deport. Staff informed LPA this conversation occurred July 20th.

Additionally, LPA conducted a personnel file review and was provided a list of caregivers who works at the facility. LPA identified two staff working month of August 2023 who are not associated to the facility. LPA was informed S1 started working this month as a filled-in/on-call staff. LPA was informed S2 has been working as a full-on staff for a "couple of months".