Facility Evaluation Report

On 07/25/2024 at 12:20 PM, Licensing Program Analyst (LPA) Melody Brown made an unannounced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection. LPA Brown met with Licensee/Administrator Max Zapanta and was granted entry to the facility. At the time of the visit there were two (2) staff present, and six (6) residents present. LPA Brown explained the purpose of the visit to Licensee/Administrator Zapanta.

The facility is a four (4) bedroom, two (2) bathroom home with a kitchen/dining area, living room, activity room, garage, office and laundry area. The facility is Residential Care Facility for the Elderly (RCFE). The facility is licensed for a capacity of six (6) residents of which six (6) can be non-ambulatory residents. The facility has three (3) Hospice Waiver. The current census is six (6) residents. LPA Brown was accompanied by Licensee/Administrator Zapanta to conduct a general overall inspection, which included, but was not limited to, the following:

Physical Plant : The facility is operating in the capacity approved by Community Care Licensing Division (CCLD). LPA Brown observed no obstructions to indoor and outdoor passageways. The facility is maintained at a comfortable temperature of 113 degrees Fahrenheit. LPA Brown inspected resident bedrooms; they are equipped with required furniture such as: mattresses, lamps and storage space. LPA Brown observed sufficient lightning. Moreover, LPA Brown observed that bathrooms were clean, and appliances were operating appropriately. LPA Brown observed grab bars and non-skid mat in the resident bathrooms.

The facility is equipped with operating smoke detectors and carbon monoxide alarms. Posters such as personal rights, the CCLD complaint poster, Ombudsman Poster and the Emergency Disaster plan were posted in a common area. Nightlights were observed in the hallway towards resident bathrooms. ***Continuation in LIC809C ***