Facility Evaluation Report

On 8/6/24, Licensing Program Analyst (LPA) Arvin Villanueva arrived unannounced at this facility to conduct their required annual inspection. LPA initially met with on of the staff on duty and stated the purpose of the visit. The administrator, Lionel Nunez, was notified of the visit and arrived shortly after. Present during today's visit were 3 residents in care with 2 staff on duty.

LPA and Administrator toured the facility physical plant to ensure compliance with Title 22 regulations. The facility is a one-story home located in a residential neighborhood. LPA observed the front yard to be clean and free of obstruction. LPA observed the backyard to have outdoor furniture and covered patio for outdoor activities. Fence and gate were observed to be in good repair.

LPA observed the 4 bedrooms to be furnished. 4 of 4 bedrooms are single/private room. Bathroom was observed to be fully stocked with toilet paper, paper towels, soap, trash can, and non-skid mats. Common areas were observed to be clean and free from debris. LPA observed the temperature inside the facility was measured at 73*F and the hot water was measured at 112*F. Facility has nonperishable foods for a minimum of one week and fresh perishable foods for a minimum of two days. LPA observed the centrally stored medications area, toxins, and sharps to be locked and inaccessible to clients. LPA observed fire extinguisher with last serviced on 07/30/24, smoke and carbon monoxide detectors, central heating and air in the facility to be in good working condition. Fireplace was observed to be screened and has not been utilized as per Administrator.

LPA reviewed 4 of 4 resident files. 4 of 4 residents reviewed have completed records. LPA reviewed 2 of 4 resident medications and found to be in compliant. Facility handles resident money. 2 of 4 residents' P&I money were counted by Administrator while LPA observed and found to be accurate.