Facility Evaluation Report

On 3/18/24, at 2:40pm, Licensing Program Analyst (LPA) Arvin Villanueva conducted an unannounced a annual visit. LPA initially met with the staff on duty and explained the purpose of today’s visit. The Administrator, Zenaida Abriam, was made aware of the visit and arrived shortly after. Present during this visit, there were 4 client in care with 3 staff on duty.

At 2:50pm, LPA and staff on duty inspected the facility’s physical plant including but not limited to the kitchen, dining room, resident bedrooms, resident bathrooms, laundry room, living area, common TV area, and outside of the facility to ensure compliance with Title 22 regulations. The facility is a one-story structure located in a residential neighborhood. No bodies of water were observed. Outside of the facility was observed to be cleaned and clear of obstructions. Additionally, LPA observed outdoor furniture for residents’ use and area for outdoor activities. Entrance, exits and hallways were observed to be clear of obstructions. LPA observed inside the shed located at the backyard and contain to have gardening tools. LPA observed the shed to not have locked. Staff on duty was unable to properly locate the shut off valves (water, gas and electric) during the facility observation. LPA observed 5 client bedrooms and 3 bathrooms for client use. One bedroom is unoccupied at this time. One bedroom (bedroom #2) is a shared bedroom and currently being occupied by two clients in care. LPA observed beds and bedding supplies were in good condition, adequate lighting was provided, and sufficient storage for the resident's personal belongings. Bed linens, comforters, and bath towels were adequately stocked during the visit. Bathrooms were operational and adequately supplied.

LPA observed the facility to be furnished at the time of the visit. Storage areas for personal hygiene, cleaning supplies, toxins, and sharps objects were locked and not accessible to residents in care. The kitchen was inspected, and sufficient 2-day perishable and 7-day non-perishable food was maintained adequately. LPA observed inside the kitchen fridge and freezers and unable to determine if proper temperatures were maintained as per regulation. LPA provided technical assistance for licensee to ensure regulatory temperatures of the fridge and freezers are maintained.