Senior Care Records.

Facility Evaluation Report

Bautista Home, San Juan Bautista02/22/2024Licence 355202781

Capacity4
Census4
Date signed02/23/2024 08:19:49 AM
The inspector’s account

On 2/22/2024, Licensing Program Analyst(LPA) D. Ayers arrived unannounced at the facility to conduct a Required Annual Inspection. LPA met with Program Administrator Mitchell Guevara. Administrator certificate was current with expiration date 7/26/2024.

LPA toured the facility inside and outside. Pathways and doors were clear and free from obstruction. Smoke-detectors and carbon-monoxide detectors were present and operational. Staff maintain a record of emergeny drills. Last emergency drill was conducted 2/17/2024. Facility was clean and odor free. LPA observed sufficient amount of perishable and non-perishable foodstuffs. Common areas were clean, adequately furnished, and adequately lit. Resident bedrooms were clean and had required minimum furnishings. Resident bathrooms were clean, odor free, and water temperature was within required temperature range. Sharp items were secured in a locked drawer in a locked office. Medications were centrally stored in a locked cabinet, and medications appeared to be administered properly. Delayed egress devices were fucntioning porperly. LPA reviewed facility plan of operations and emergency disaster plan. LPA reviewed staff and resident files. Staff had required certifications and training.

LPA requested the following documents: LIC 500 Personnel Report, LIC 308 Designation of Administrative Responsibility, LIC 610-D the Emergency Disaster Plan, and a copy of current Administrator’s Certificate to update the facility file.

No deficiencies were cited during the inspection, exit interview conducted with Administrator, a copy of the report was provided.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction