Facility Evaluation Report

Licensing Program Analyst (LPA) Magda Malcore conducted an unannounced visit to this facility for a required annual inspection. LPA met with Administrator Mayleen Saludez and was informed of the purpose of today's visit. The facility is approved for a capacity of six (6) non-ambulatory residents with a current census of one (1) resident in care. LPA conducted a tour of the interior and exterior of the facility.

Physical Plant: All indoor and outdoor passageways are kept free of obstruction. There are no pools or other bodies of water located on the premises. The facility's outdoor activity space is enclosed with a self-latching gate. The facility is being maintained at a comfortable temperature for resident. Resident bedroom equipment are in operating condition and bathrooms are equipped with grab rails and slip mats. Hot water temperature in resident bathrooms measured between 105 degrees Fahrenheit. The facility is equipped with fire extinguishers, fire alarms, first aid kit, hallway night lights, bottled water and telephone service. The facility has posted in a common area: Community Care Licensing complaint poster, Ombudsman poster, facility license, evacuation sketch and emergency telephone numbers.

Kitchen and Food Service: The facility is equipped with a two-day perishable and at least a 7-day non-perishable supply of food. All readily perishable food or beverages capable of micro-organism growth are being stored appropriately within regulatory temperatures. Sharps and cleaning agents are kept locked and secured.

Medication and Supervision: The facility maintains sufficient staffing to provide services needed to meet residents' needs. Resident's medication is central stored and kept locked and secured.