Facility Evaluation Report

On 2/25/2025, Licensing Program Analyst (LPA) Arvin Villanueva arrived unannounced at this facility to conduct their annual inspection visit. Initially, no one was present at the facility. LPA contacted the administrator, Valerie Frederickson, who informed LPA that residents in care are out in the community and she was unavailable at the moment but that her designated administrator, Eileen Nazareno, will arrive in 45 minutes. LPA met with Eileen and stated the purpose of this visit.

LPA and Eileen toured and inspected the physical plant inside and outside to ensure there are no safety hazards to residents. This facility is a two story home located in a residential neighborhood. Note that the second floor of the facility was observed to have a locked door leading up the stairs and it is being used as a storage area at this time. The garage was observed to be locked and not accessible to residents. The garage is used as a storage for cleaning supplies and other supplies. LPA observed kitchen, dining area, bedrooms and bathrooms, storage areas, laundry and lighting throughout the facility. LPA observed supplies of nonperishable foods for a minimum of one week and perishable foods for a minimum of two days maintained on the premises.

The temperature inside the facility was observed to be at 74*F. The hot water temperature was measured at 116 degree Fahrenheit. LPA observed fire extinguisher(s), smoke and carbon monoxide detectors, and central heating and air in the facility. During this visit, staff tested one of the smoke detectors and was found to be operable at this time. LPA observed the centrally stored medications area to be locked and inaccessible to residents. The first aid kit contained the required items such as sterile dressings, bandages, adhesive tape, scissors, tweezers, thermometers, antiseptic solution and guide.

LPA reviewed 4 staff files. 4 of 4 staff were found to have current 1st aid/CPR certificate and have background clearance and are associated to this facility. LPA reviewed 3 resident files. 3 of 3 residents have medical assessments and current Individual Program Plan. LPA reviewed 2 resident cash and found to be accurate at this time. LPA conducted medication review of 2 residents. Facility conducts monthly fire drills.