Facility Evaluation Report

On 10/14/2024 at 09:15 AM, Licensing Program Analysts (LPA) Melody Brown and Eldin Serrano made an unannounced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection LPAs Brown and Serrano met with Assitant Resident Care Coordinator Gwendolyne Galvan and was granted entry to the facility. At the time of the visit there were twenty seven (27) staffs present, and one hundred thirty three (133) residents present.

The facility is a eighty four (84) bedrooms, eighty four (84) bathroom facility with a kitchen/dining area, living room/activity room, TV room. The facility is Residential Care Facility for the Elderly (RCFE). The facility is licensed for a capacity of eighty six (86) ambulatory, one hundred fifty (150) non ambulatory, fifteen (15) hospice care and 15 maybe bedridden resident and the current census is one hundred thirty three (133) residents. LPAs Brown and Serrano was accompanied by ARCC 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). There are no obstructions to indoor and outdoor passageways. The facility is maintained at a comfortable temperature of 74 degrees Fahrenheit. LPAs inspected resident bedrooms; they are equipped with required furniture such as: mattresses, nightstands, storage space, and sufficient lighting; bathrooms were clean, and appliances were operating appropriately. LPAs observed sufficient furniture and lighting throughout the facility. LPAs measured and observed the water temperatures in the bathroom for room #104 to be at 114.4 degrees Fahrenheit, Room# 246 to be at 115.8 degrees Fahrenheit, Room #311 to be at 115.1 degrees Fahrenheit . The facility is equipped with operating smoke detectors and did not observe carbon monoxide alarms. LPAs observed that the facilty do not have the required carbon monoxide detector installed on each floor of the facility. Deficiency will be issued.